Children with infectious mononucleosis cases of misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 7 Children with infectious mononucleosis cases of misdiagnosis Of: Dongshu Hong, Tan Zhaoyuan, Mak Man Ying, Zhan Guoyuan [Abstract] Objective To improve children with infectious mononucleosis disease awareness, reduce misdiagnosis. Methods of January 2001 ~ April 2008 in our department diagnosis of infectious mononucleosis in 46 cases, the course of disease was misdiagnosed cases. Results of infectious mononucleosis high misdiagnosis rate of early onset disease, mainly misdiagnosed as purulent tonsillitis. in the late low rate of misdiagnosis, misdiagnosis as the lower respiratory tract infections, Kawasaki disease, thrombocytopenic purpura, hepatitis . Conclusions of children with fever and purulent tonsillitis increase in peripheral blood lymphocytes, in particular, liver damage, should pay attention to symptoms of infectious mononucleosis. [Keywords:] children, infectious mononucleosis syndrome, misdiagnosis Infectious mononucleosis syndrome (infectious mononucleosis, IM) were mainly seen in children and adolescents, EB virus infection is an acute infectious disease caused. IM lack of specific symptoms and signs, especially in children, the vulnerable misdiagnosis and missed diagnosis. now our hospital in January 2005 ~ May 2008 cases were treated as follows. 1 Clinical data 1.1 General information on 46 cases, 28 males and 18 females, aged 2 to 13 years old. Had fever, body temperature fluctuations at 37.4 ℃ ~ 40.0 ℃, superficial lymph nodes in 46 patients (100%), skin rash in 20 cases (43 %), hepatomegaly in 43 cases (93%), splenomegaly in 18 cases (39%). are in line with lt;lt;Practical Pediatricsgt;gt; version 7 of infectious mononucleosis syndrome diagnostic criteria [1]. 1.2 misdiagnosis (1) fever had been misdiagnosed as upper respiratory tract infection 40 cases misdiagnosed for 3 to 7 days within 3 days of onset were in the hospital or clinic outside the hospital with suspected upper respiratory tract infec