Splenic rupture in infectious mononucleosis.

Abstract

Case Reports1 June 1957SPLENIC RUPTURE IN INFECTIOUS MONONUCLEOSISROBERT J. HOAGLAND, M.D., HENRY M. HENSON, M.D.ROBERT J. HOAGLAND, M.D.Search for more papers by this author, HENRY M. HENSON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-46-6-1184 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSince splenic rupture is a rare complication of mononucleosis, knowledge of the incidence of this complication is gained only as cases are reported. Details of the clinical course of patients with ruptured spleen are often lacking because many cases have been recorded by pathologists, who are unlikely to have personal knowledge of such details.Review of the two cases to be described, and also of some published case reports, suggested that early manifestations of splenic rupture were unrecognized. In one instance1a patient hospitalized with a diagnosis of mononucleosis later went into shock and died of a ruptured spleen, yet...Bibliography1. Ziegler EE: Infectious mononucleosis: report of a fatal case with autopsy, Arch. Path. 37: 196, 1944. Google Scholar2. Tudor RW: Unusual case of rupture of spleen, Brit M. J. 2: 813, 1953. CrossrefMedlineGoogle Scholar3. Stobbe H: Milzruptur bei Mononucleosis infectiosa (kasuistischer Beitrag zur Histopathologie der Mononucleosis infectiosa), Ztschr. ges. inn. Med. 7: 1026, 1952. MedlineGoogle Scholar4. Hoagland RJ: Infectious mononucleosis, Am. J. Med. 13: 158, 1952. CrossrefMedlineGoogle Scholar5. Bender CE: The value of certain signs in the presumptive diagnosis of infectious mononucleosis, Journal Lancet 74: 7, 1954. Google Scholar6. Hoagland RJ: Infectious mononucleosis: the problem of diagnosis, Bull. U. S. Army, Europe 12: 8, 1955. MedlineGoogle Scholar7. HoaglandGill RJEH: Die diagnostischen Kriterien der infektioesen Mononukleose, Deutsche med. Wchnschr. 80: 214, 1955. CrossrefMedlineGoogle Scholar8. Bernstein A: Infectious mononucleosis, Medicine 19: 85, 1940. CrossrefGoogle Scholar9. ReadHelwig JIFC: Infectious mononucleosis, Arch. Int. Med. 75: 376, 1945. CrossrefGoogle Scholar10. Milne J: Infectious mononucleosis, New England J. Med. 233: 727, 1945. CrossrefMedlineGoogle Scholar11. Lawrence JS in Textbook of medicine, Cecil, R. L., and Loeb, R. F., Editors, 1955, W. B. Saunders Co., Philadelphia, p. 84. Google Scholar12. Wintrobe MM: Clinical hematology, 1951, Lea & Febiger, Philadelphia, p. 982. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication February 23, 1956.†Deceased.Requests for reprints should be addressed to Colonel Robert J. Hoagland (MC), Chief, Medical Service, U. S. Army Hospital, Fort Benning, Georgia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAcute Epstein-Barr Virus Infection Complicated by Rhabdomyolysis: A Case Report and Literature ReviewEpstein-Barr Virus’Predictors of hospitalization in children with infectious mononucleosisPrimary Epstein-Barr virus infectionInfectious mononucleosisInfectious MononucleosisEpstein-Barr Virus (Infectious Mononucleosis, Epstein-Barr Virus–Associated Malignant Diseases, and Other Diseases)Return to Contact Sports following Infectious Mononucleosis: The Role of Serial UltrasonographyProgress and Problems in Understanding and Managing Primary Epstein-Barr Virus InfectionsEpstein-Barr Virus (Infectious Mononucleosis, Epstein-Barr Virus–Associated Malignant Diseases, and Other Diseases)An Unusual Presentation of Scrub Typhus With Atraumatic HemoperitoneumDetermination of Safe Return to Play for Athletes Recovering from Infectious MononucleosisCytomegalovirus Appendicitis Following Acute Epstein-Barr Virus Infection in an Immunocompetent PatientUnusual case of acute onset abdominal pain: uses and limitations of medical imagingAcute PharyngitisSpontaneous splenic rupture: an unusual cause of hypovolaemia.Spontaneous Rupture of the Spleen Due to Infectious MononucleosisClinical ComplicationsDifferentiation of mononucleosis from hepatitis by sonographic measurement of spleen sizeNonsurgical treatment of splenic hemorrhage in an adult with infectious mononucleosisInfectious Mononucleosis and ComplicationsInfectious mononucleosis in the athleteSpontaneous rupture of the spleen in infectious mononucleosisInfectious MononucleosisSplenectomy in a Hemophiliac: Diagnosis of Occult Rupture, Preoperative Evaluation, and Postoperative SupportInfectious Mononucleosis In ChildhoodInfectious MononucleosisCase 44252 1 June 1957Volume 46, Issue 6Page: 1184-1191KeywordsAnemiaBradycardiaHistopathologyPathologistsPeritonitisShockSpleen ePublished: 1 December 2008 Issue Published: 1 June 1957 PDF downloadLoading ...