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Article
April 16, 1955

GROSS HEMATURIA AS THE PRESENTING SYMPTOM OF INFECTIOUS MONONUCLEOSIS

JAMA. 1955;157(16):1406. doi:10.1001/jama.1955.02950330046008a
Abstract

Gross hematuria is a rare and unusual clinical finding in patients with infectious mononucleosis; however, the renal tract may be involved in the course of this disease. Tidy and Morley reported an incident of renal involvement in 6% of 270 cases analyzed in 1921. Wechsler noted abnormal urinary findings in 3% of 556 cases observed during an Army epidemic. This 3% included patients with red and white blood cells, albumin, hyaline, and granular casts in the urine and included two cases of gross hematuria. Thompson and Pitt reported a case of infectious mononucleosis with gross hematuria occurring in an 18-year-old college girl. However, many series of cases reported in the literature over a period of years either make no mention of renal findings or stated that none were noted. This case of a patient with infectious mononucleosis is presented to emphasize that gross hematuria may be an outstanding feature, since

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