title: [Pfeiffer's disease, not always the innocent kissing disease].
abstract: Three patients, men of 39, 27 and 17 years old, who suffered from infectious mononucleosis (Pfeiffer's disease), presented with severe pain in the left upper abdomen radiating to the left shoulder (Kehr's sign). Ultrasonographically an increased amount of abdominal fluid was observed and the spleen ws slightly enlarged. Laparotomy revealed a ruptured spleen. This is a life-threatening complication of infectious mononucleosis.
authors.affiliation: Afd. Inwendige Geneeskunde, Sint Elisabeth Ziekenhuis, Tilburg.
authors.forename: C J
authors.initials: CJ
authors.lastname: Konings
authors.forename: J F
authors.initials: JF
authors.lastname: Miseré
authors.forename: A
authors.initials: A
authors.lastname: Dolman
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications* / Q000175:diagnosis; D008297:Male; D013156:Splenectomy; D013161:Splenic Rupture / Q000209:etiology* / Q000601:surgery; D013163:Splenomegaly / Q000209:etiology*