Adult infectious mononucleosis syndrome 30 cases of clinical features and EBV antibody.docVIP
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Adult infectious mononucleosis syndrome 30 cases of clinical features and EBV antibody
[Abstract] Objective To investigate the adult infectious mononucleosis syndrome (IM) of clinical features and EBV antibody test significance. Methods 30 cases of adult patients with IM clinical and laboratory data were analyzed retrospectively. The results of early adult IM or performance of local symptoms often misdiagnosed as upper respiratory tract infection or a single organ disease, 30 cases of determination by enzyme-linked slide EBV antibodies (anti-VCA-IgM) positive in 28 cases (93.3%). Conclusions The adult IM complex and diverse clinical manifestations, liver damage prominent, the diagnosis of unknown fever, EBV-specific antibody can be used as routine test items.
[Keywords:] adults; infectious mononucleosis syndrome; the clinical features; test
Infectious mononucleosis syndrome (infectious mononucleosis, IM) is a major by the EB virus (Epstein-Barr virus, EBV) caused by an acute or sub-acute infectious disease. Its symptoms and signs are not typical, and complex, can easily result in missed diagnosis or misdiagnosis. The adult infectious mononucleosis syndrome population as a whole due to the high incidence of disease, clinical inadequate attention, missed diagnosis, misdiagnosis rate was higher in recent years, more and more attention by the clinician. January 2000 ~ December 2005, our hospital a total of 30 patients with diagnosis and treatment of adult IM are reported as follows.
1 Data and methods
1.1 General information on 30 cases of IM patients, 15 males and 15 females; aged 16 to 75 years old, 16 to 30 years old, 26 cases over 30 years old, 4 cases, the average (25.33 ± 2.45) years of age.
1.2 Diagnosis based on the basis of ‘infectious disease studies’ IM diagnostic criteria [1]: (1) the total number of abnormal lymphocytes accounted for more than 10% lymphocytes; (2) addicted to different serum agglutination test p
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