| Autor: |
Delle Monache G; Unità Operativa di Medicina Interna, Ospedale S. Massimo di Penne, PE., Orlando D, Frassanito S, Sciarra R, Rinaldi MT |
| Jazyk: |
italština |
| Zdroj: |
Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna [Ann Ital Med Int] 2003 Apr-Jun; Vol. 18 (2), pp. 104-6. |
| Abstrakt: |
Spontaneous splenic rupture is a very rare complication of infectious mononucleosis, already described by other authors. In this case report we show the findings occurring in a young man who presented with sudden left thoracic pain and dyspnea. The initial work-up was oriented towards a suspected diagnosis of left spontaneous pneumothorax. Initially, little attention was paid to the clinical history that was characterized by flu-like symptoms during the previous 2 weeks; this, along with a rushed physical examination, could have had dramatic consequences, due to the unavoidable diagnostic delay. A thorough clinical evaluation by Internists, coupled with the essential ultrasonographic diagnostic support, allowed an earlier diagnosis followed by definitive cure, i.e. splenectomy. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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