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Deep Jaundice in Infectious Mononucleosis

Deep Jaundice in Infectious Mononucleosis DEEP JAUNDICE in infectious mononucleosis is generally considered rare. It has even been stated that a total serum bilirubin level of over 6 mg/100 ml. makes infectious mononucleosis unlikely. Nevertheless, the presence of fever, pharyngitis, and jaundice in a young person should stimulate the thought of infectious mononucleosis as the "most likely diagnosis, regardless of the level of the bilirubinemia. That this level may be quite high is illustrated by the following case in which a bilirubin level of over 19 mg/100 ml. was observed, and by 10 similar cases, found in the literature, with serum bilirubin levels of 8 mg/100 ml. or more. Case Report A 22-year-old airman was hospitalized on May 21, 1961, complaining of sore throat and backache of 5 days' duration, and of "stomach ache" of 1 day's duration. Five days prior to admission he had developed myalgia, fever, headache, sore throat, and swelling in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Deep Jaundice in Infectious Mononucleosis

JAMA , Volume 181 (1) – Jul 7, 1962

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1962.03050270054014b
Publisher site
See Article on Publisher Site

Abstract

DEEP JAUNDICE in infectious mononucleosis is generally considered rare. It has even been stated that a total serum bilirubin level of over 6 mg/100 ml. makes infectious mononucleosis unlikely. Nevertheless, the presence of fever, pharyngitis, and jaundice in a young person should stimulate the thought of infectious mononucleosis as the "most likely diagnosis, regardless of the level of the bilirubinemia. That this level may be quite high is illustrated by the following case in which a bilirubin level of over 19 mg/100 ml. was observed, and by 10 similar cases, found in the literature, with serum bilirubin levels of 8 mg/100 ml. or more. Case Report A 22-year-old airman was hospitalized on May 21, 1961, complaining of sore throat and backache of 5 days' duration, and of "stomach ache" of 1 day's duration. Five days prior to admission he had developed myalgia, fever, headache, sore throat, and swelling in the

Journal

JAMAAmerican Medical Association

Published: Jul 7, 1962

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