Cases reported "Infectious Mononucleosis"

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11/25. Cardiomyopathy associated with nonendemic selenium deficiency in a Caucasian adolescent.

    We describe a girl aged 17 y who died after a cardiac arrest secondary to septic shock. At autopsy, the enlarged, soft, and flabby heart showed microscopic evidence of acute myocardial infarction, myocardial edema, myocardiocyte loss, replacement fibrosis in the interventricular septum, and right and left ventricular hypertrophic nucleomegaly. The pathological diagnosis was that of cardiomyopathy due to prolonged selenium deficiency. The patient had been on total parenteral nutrition for 17 mo, following extensive bowel resection for intractable pain, nausea, and vomiting caused by chronic idiopathic intestinal pseudoobstruction. Seven months before death, when severe biochemical selenium deficiency was diagnosed, supplemental selenium was added to the infusion, and plasma selenium concentrations increased. In long-standing selenium deficiency, sepsis may contribute the final insult to a damaged myocardium, triggering symptomatic cardiac failure and sudden death.
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ranking = 1
keywords = obstruction
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12/25. infectious mononucleosis complicated by lingual tonsillitis.

    Although upper airway obstruction and superimposed infection are well-known complications of infectious mononucleosis, lingual tonsillitis in this context has not been mentioned in the literature. We describe a case of acute bacterial lingual tonsillitis with airway obstruction complicating infectious mononucleosis. The role of the base of tongue region in the pathophysiology of infectious mononucleosis is discussed.
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ranking = 105.55880791715
keywords = airway obstruction, airway, obstruction
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13/25. infectious mononucleosis in older adults.

    infectious mononucleosis as a manifestation of primary Epstein-Barr virus infection occurs uncommonly in adults over age 40. While fever is almost universal, older patients with the disease often present without lymphadenopathy, pharyngitis, splenomegaly, lymphocytosis or atypical lymphocytes. jaundice and hepatomegaly occur more commonly in older patients than in adolescents and create diagnostic confusion. Often, infectious mononucleosis in this age group is confused with lymphoma, leukemia or biliary obstruction, or is classified as "fever of unknown origin."
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ranking = 1
keywords = obstruction
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14/25. airway obstruction in infectious mononucleosis. A case report.

    A 3 1/2-year-old child with infectious mononucleosis developed upper airway obstruction because of enlarged tonsils and adenoids; the obstruction resolved spontaneously. The spectrum and management of airway obstruction in infectious mononucleosis is described.
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ranking = 110.55880791715
keywords = airway obstruction, airway, obstruction
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15/25. Nasopharyngeal obstruction in infectious mononucleosis.

    Obstruction of the upper respiratory tract is an alarming and serious manifestation of infectious mononucleosis. The physician must distinguish this disease from other causes of upper airway obstruction. The presence of nasal obstruction by viscous secretions can aid in establishing the diagnosis of infectious mononucleosis. Steroid therapy should be initiated as soon as respiratory obstruction is apparent and infectious mononucleosis is suspected.
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ranking = 58.779403958576
keywords = airway obstruction, airway, obstruction
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16/25. The association of extrahepatic bile duct atresia and neonatal Epstein-Barr virus infection.

    An infant with uncorrectable extrahepatic bile duct atresia was found to have evidence of Epstein-Barr virus infection during the neonatal period. It is probable that the infection was acquired in utero. In view of the association of hepatitis with the Epstein-Barr virus in later life, it is possible that this infection was responsible for the development of bile duct obstruction.
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ranking = 1
keywords = obstruction
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17/25. airway obstruction in infectious mononucleosis. A case report.

    A case of anginose glandular fever (infectious mononucleosis) is presented in which the lymphoid tissues of Waldeyer's ring were so enlarged that they precluded intubation. The management of the case by tracheostomy is described.
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ranking = 4
keywords = obstruction
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18/25. Abnormalities of the pharynx and prevertebral soft tissues in infectious mononucleosis.

    Four cases of infectious mononucleosis complicated by airway obstruction are reported. In each case, radiographs demonstrated marked enlargement of the adenoids, tonsils, the prevertebral cervical soft tissues, or a combination of two or three of these. These changes are associated with, and help to explain, severe dysphagia and dyspnea in some children with infectious mononucleosis. Occasionally, the diagnosis may be suggested from radiologic findings.
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ranking = 52.779403958576
keywords = airway obstruction, airway, obstruction
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19/25. Upper airway obstruction in infectious mononucleosis.

    life-threatening upper respiratory obstruction is an unusual complication of infectious mononucleosis. Although the majority of fatalities result from progressive bulbar paralysis or the guillain-barre syndrome, airway impairment primarily occurs as a result of pharyngeal lymphoid hyperplasia and associated faucial arch edema. Recent experience in a young child with infectious mononucleosis who exhibited progressive hypersomnolence, sleep apnea, and stridor during sleep is presented. In addition, a retrospective analysis of 72 cases of respiratory complications of infectious mononucleosis provides guidelines for specific airway management. Mild upper respiratory obstruction with persistent fever, severe odynophagia, and malaise is treated with parenteral corticosteroids. Immediate tonsillectomy using a halothane and oxygen induction technique is recommended for severe airway occlusion. tracheotomy is currently reserved for those patients with progressive alveolar hypoventilation, hypercarbia, atelectasis, and bulbar paralysis. In general, tonsillectomy is well-tolerated, eliminating airway obstruction, improving swallowing function, and rapidly resolving pharyngeal discomfort.
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ranking = 269.45742781982
keywords = airway obstruction, airway, obstruction
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20/25. herpes simplex dissemination following glucocorticoids for upper airway obstruction in an adolescent girl.

    A previously healthy adolescent female suddenly developed a severe febrile pharyngitis and impending upper airway obstruction. Her Monospot test was positive, and her throat culture grew group A beta-hemolytic streptococcus. After treatment with antibiotics and glucocorticoids, she developed a fulminant course dominated by disseminated intravascular coagulation and hepatic necrosis. At autopsy, herpes simplex virus type-1 was cultured from lung, liver, and spleen tissue. We believe this is the first report of disseminated herpes simplex infection after steroid use for upper airway obstruction.
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ranking = 316.67642375146
keywords = airway obstruction, airway, obstruction
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