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May 23, 1966

Infectious Mononucleosis In an Elderly Farmer

Author Affiliations

Grinnell, Iowa

JAMA. 1966;196(8):742. doi:10.1001/jama.1966.03100210112042

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To the Editor:—  When the letter of William P. Corr, MD, concerning infectious mononucleosis in the aged appeared (195:1158, 1966) I had just hospitalized a 72-year-old farmer with the same disease.The patient had noted general malaise, dry cough, fever, chills, and a gradually increasing sore throat for seven to ten days before admission to the hospital. When seen March 24, 1966, his body temperature was 101.6 F, the blood pressure was 110/80 mm Hg, and the pulse rate was 100 beats per minute. His throat was beefy red, with markedly enlarged tonsils which were covered with grayish-white exudates. The posterior cervical lymph nodes were markedly enlarged. His spleen and liver were not palpable, but he did have a few scattered rales in both lung fields.His white blood cell count (WBC) was 17,400/cu mm; the hemoglobin level was 13.5 gm/100 cc; the hematocrit reading, 42%. The differential WBC

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