A case study of cervical lymphoadenopathy associated with initial EB virus infection

Autor:	Susumu Aruga, Junichi Satoh, Shinya Yasumoto, Kanichi Seto, Hironari Kanemura, Koji Kawaguchi
Rok vydání:	1996
Předmět:	Submandibular lymph nodes Pathology medicine.medical_specialty business.industry medicine.drug_class Antibiotics Virus Pharyngitis Serology Titer medicine.anatomical_structure Cervical lymphadenopathy Sore throat Medicine medicine.symptom business
Zdroj:	Japanese Journal of Oral & Maxillofacial Surgery. 42:1082-1084
ISSN:	2186-1579 0021-5163
DOI:	10.5794/jjoms.42.1082
Popis:	We report a case of cervical lymphoadenopathy associated with an initial Epstein-Barr virus infection in a 19-year-old man. The patient presented with fever, general malaise, sore throat, and swelling of five submandibular lymph nodes. Hematological examination revealed lymhocytosis (68% lymphocytes) with no atypical form, and hepatic function was impaired. In serological examinations, the and-VCA IgG titer was 610, the anti-EA-DR IgG titer was 40, and the anti-EBNA titer was 10. These findings led to the suspicion of an initial infection with the Epstein-Barr virus. Antibiotics, acyclovir, and glutathione were administered to the patient. His symptoms resolved after several days. However, two soft submandibular lymph nodes were noted 113 days after treatment. Patients with pharyngitis and cervical lymphadenopathy of unknown origin should be examinied for Epstein-Barr virus infection when attempting to differentially diagnose the underlying condition.
Databáze:	OpenAIRE
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