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June 26, 1967

Unusual Course of Infectious Mononucleosis

Author Affiliations

From Medical Department "B," Tel-Aviv University Medical School, Ichilov Municipal Medical Center, Israel. Dr. Seligsohn is now at the Institute of Hematology, Tel-Hashomer Government Hospital, Israel.

JAMA. 1967;200(13):1181-1183. doi:10.1001/jama.1967.03120260077018

INFECTIOUS mononucleosis is a disease with protean symptomatology, varied, atypical, and complicated in its course; the signs and symptoms may not be suggestive and the diagnosis is sometimes reached only incidentally and late. We herewith present a case with such an unusual sequence of events.

Report of a Case  A 63-year-old man was admitted to surgical department C on May 25, 1965, because of pain in the left lower quadrant of the abdomen, of three days' duration, accompanied by nausea and constipation.In 1926, a left nephrectomy had been performed because of nephrolithiasis with nonfunctioning kidney. Since 1937 he had been suffering from epigastric pain attributed to hypertrophic gastritis; since 1953, from intermittent claudication of both legs; and since May 1964, from attacks of precordial pain lasting five to ten minutes; serial electrocardiograms, however, were normal. Blood pressure readings of 200/100 to 110 mm Hg were found on many occasions.