Abstract
Infectious mononucleosis (IM) is a disease which generally has a good prognosis, but there may be several severe complications: ruptured spleen, Guillain-Barré syndrome, airway obstruction, etc.
A 21-year-old female patient suffering from IM with the chief complaint of dyspnea was found to have extremely swollen tonsils and adenoids. Parenteral steroid therapy was not effective, so we performed a tracheotomy.
It is important to determine the cause of dyspnea. The medical and surgical therapy of airway obstruction in IM are discussed.