title: [A case of infectious mononucleosis with splenic infarction].
abstract: A 22-year-old man complaining of persisting high fever and right hypochondralgia was admitted to our hospital for infectious mononucleosis with splenic infarction detected by computed tomography. The splenic infarction deteriorated with a marked elevation of inflammatory parameters. This necessitated the commencement of methylprednisolone pulse therapy, resulting in prompt amelioration of inflammation and a reduction in cytokine levels. Including our case, only 9 cases of mononucleosis with splenic infarction have been reported to date; however, splenic infarction should be considered because it is a significant complication of infectious mononucleosis.
authors.affiliation: Department of Internal Medicine, Nara Prefectural Nara Hospital, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kobe
authors.forename: Toshiya
authors.initials: T
authors.lastname: Nakatani
authors.forename: Yukihisa
authors.initials: Y
authors.lastname: Fujinaga
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Seki
authors.forename: Soichiro
authors.initials: S
authors.lastname: Saikawa
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Sawada
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sato
authors.forename: Shinsaku
authors.initials: S
authors.lastname: Nagamatsu
authors.forename: Hideki
authors.initials: H
authors.lastname: Matsuo
authors.forename: Eiryo
authors.initials: E
authors.lastname: Kikuchi
mesh_terms: D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D020551:Pulse Therapy, Drug; D013159:Splenic Infarction / Q000150:complications*; D055815:Young Adult
chemical_list: D008775:Methylprednisolone