March 28, 1966

Infectious Mononucleosis In the Elderly

Author Affiliations

Riverside, Calif

JAMA. 1966;195(13):1158. doi:10.1001/jama.1966.03100130132047

To the Editor:—  When an elderly patient, especially one with known degenerative vascular disease, suddenly seems to deteriorate mentally, it is tempting to make a diagnosis of "minor stroke." But many other illnesses can cloud an aging person's mind, with only a benign cause for the ominous symptoms. Such was the happy outcome in this case of infectious mononucleosis in a 70-year-old man.The patient, a retired teacher, normally quite alert, had had a myocardial infarction in February 1964 and another in March 1965. At the time of his first episode a diminished right carotid pulse had been noted.One week before admission to the hospital on May 18, 1965, he noted that he was no longer able to think clearly or rapidly. This feeling had persisted and this dull state contributed to two automobile accidents. In one he had veered off his driveway into some bushes and in the

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