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传染性单核细胞增多症(Infectious MononuIeosis简称IM)现认为多系EB病毒所引起免疫学异常的一个典型疾病,也是一种流行性散发性传染病。近年国内外报导日渐增多,典型表现为急性或亚急性起病,有发热、咽炎、淋巴结和脾肿大,血涂片可见异型淋巴细胞,血清嗜异性抗体滴度升高。由于其临床表现多种多样,分型复杂,易与其他疾病相混淆,因此常被疏忽误诊。现将我科住院43例与门诊1例的临床资料进行分析讨论,并附5例病历摘要。
Infectious MononuIeosis (IM) is now considered a multi-line EB virus caused by a typical immunodeficiency disease, but also a epidemic of infectious diseases. In recent years, increasing reports at home and abroad, the typical manifestations of acute or subacute onset, fever, pharyngitis, lymph nodes and splenomegaly, blood smear visible atypical lymphocytes, serum heterophile antibody titers increased. Due to its diverse clinical manifestations, complex typing, and other diseases easily confused, so often negligent misdiagnosis. Now 43 cases of our hospitalized and outpatient clinical data analysis and discussion, with 5 cases of medical records summary.