title: [Splenic rupture in infectious mononucleosis].
abstract: A 22 year old male with infectious mononucleosis, who stated a history of trauma to his left thoracic wall, developed an acute abdomen with symptoms of shock. A ruptured spleen was suspected. This working diagnosis, which was supported by ultrasound led to a splenectomy the initial diagnosis. The case report of this rare complication--due to the increased vulnerability of the spleen capsula in infectious mononucleosis--is highlighting the possible danger of splenic rupture. As of today, emergency splenectomy without any compromise ist still the safest state of the art therapy.
authors.affiliation: Abteilung für Tropenmedizin und Infektionskrankheiten, Universität Rostock.
authors.forename: B
authors.initials: B
authors.lastname: Basan
authors.forename: M
authors.initials: M
authors.lastname: Lafrenz
authors.forename: K
authors.initials: K
authors.lastname: Ziegler
authors.forename: G
authors.initials: G
authors.lastname: Klemm
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology / Q000628:therapy; D000328:Adult; D003937:Diagnosis, Differential; D004630:Emergencies; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications* / Q000628:therapy; D008297:Male; D013156:Splenectomy; D013161:Splenic Rupture / Q000209:etiology* / Q000628:therapy; D013898:Thoracic Injuries / Q000150:complications / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000628:therapy
vernacular_title: Milzrupture bei infektiöser Mononukleose.