1981 Volume 55 Issue 6 Pages 447-452
Primary Epstein-Barr Virus (EBV) infections are more often expressed as clinical infectious mononucleosis.
Occurrence of the disease among young adults, espicially in the 15 to 25 year age group, is the most characteristic epidemiologic feature.
Primary EBV infection in senile cases is often atypical and very rare.
We reported herein a senile case of a 65 year-old male who exhibited no increase in monocyte or lymphocyte, but a rise in EBV antibody titer as well as a positive Paul Bunnell test, and who was eventually diagnosed as having a primary EBV infection.
Further, the patient developed fever of 6 weeks duration, skin rash with small vesicles, and arthralgia and myalgia. In addition, the electrocardiogram showed atrial fibrillation. Thus, this case was accounted to be very specific.
We think that there has as yet been no report of such a rare case as we have described.
