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Otolaryngological complications in infectious mononucleosis

Published online by Cambridge University Press:  29 June 2007

T. Johnsen*
Affiliation:
Copenhagen, Denmark
M. Katholm
Affiliation:
Copenhagen, Denmark
S.-E. Stangerup
Affiliation:
Copenhagen, Denmark
*
Torsten Johnsen, M.D., ENT-Department, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.

Abstract

Otolaryngological complications occurred in 5 per cent of 467 patients with infectious mononucleosis admitted consecutively to the ENT-department during the period 1 April 1969 to 30 June 1981. Four patients had peritonsillar abscess and five patients developed potentially lethal obstruction of the upper airway. Such complications require intervention and, as the latter condition probably is the most frequent fatal complication of IM, we find it important that patients with even slight respiratory embarassment in infectious mononucleosis should be observed and treated in an ENT-department.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1984

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References

Bondin, G. P., and Tos, M. (1981) Middle ear pressure during brief pathological conditions of the nose and throat. Acta Otolaryngologica, 92: 6369.CrossRefGoogle Scholar
DeSimone, P. A., and Snyder, D. (1978) Hypoglossal nerve palsy in infectious Mononucleosis. Neurology. 28: 844847.CrossRefGoogle ScholarPubMed
Erwin, W., Weber, R. W., and Manning, R. T. (1959) Complications of infectious Mononucleosis. The American Journal of the Medical Sciences, 238: 699712.CrossRefGoogle ScholarPubMed
Fischer, M., Schenker, I. R., and Nussbaum, M. P. (1980) Infectious Mononucleosis. New York State Journal of Medicine, 80: 929934.Google Scholar
Gautier-Smith, P. C. (1965) Neurological complications of Glandular Fever (Infectious Mononucleosis). Brain, 88: 323334.CrossRefGoogle ScholarPubMed
Handler, S. D., and Stuart Warren, W. (1979) Peritonsillar abscess: A complication of corticosteroid treatment in Infectious Mononucleosis, lnternatiuonal Journal of Pediatric Oto-rhino-laryngology, 1: 365368.Google ScholarPubMed
Johnsen, T. (1981) Infectious Mononucleosis and Peritonsillar Abscess. The Journal of Laryngology and Otology, 95: 873876.CrossRefGoogle ScholarPubMed
Krishnamurthy, M., Lee, C. K., and Dosik, H. (1976) Infectious Mononucleosis and severe Thrombocytopenia. The American Journal of the Medical Sciences, 111: 221224.CrossRefGoogle Scholar
Lee, M. D. (1969) Respiratory obstruction in glandular fever. The Journal of Laryngology and Otology, 83: 617622.CrossRefGoogle ScholarPubMed
McCurdy, J. A. Jr. (1972) Life-threatening complications of Infectious Mononucleosis. Laryngoscope, 85: 1571563.Google Scholar
Mann, W., and Lange, G. (1974) Die Tonsillektomie im akuten Stadium der Monozytenangina. Laryngologie and Rhinologie, 53: 826830.Google Scholar
Mundy, G. R. (1972) Infectious Mononucleosis with Pulmonary Parenchymal Involvement. British Medical Journal, 1: 219220.CrossRefGoogle ScholarPubMed
Nessel, E. (1962) Die operative Behandlung der komplizierten Monozytenangina. Tracheotomie oder Tonsillektomie? Laryngologie and Rhinologie, 41: 182186.Google Scholar
Pace, T. (1978) Spontaneous Rupture of the Spleen Complicating Infectious Mononucleosis. Journal of the Royal Naval Marine Service, 64: 162166.Google ScholarPubMed
Penman, H. G. (1970) Fatal Infectious Munonucleosis: A critical review. Journal of Clinical Pathology, 23: 765–711.CrossRefGoogle Scholar
Schumacher, H. R., Jacobson, W. A., and Bemiller, C. R. (1963) Treatment of Infectious Mononucleosis. Annals of Internal Medicine, 58: 217228.CrossRefGoogle ScholarPubMed
Wolfe, J. A., and Rowe, L. D. (1980) Upper airway obstruction in Infectious Mononucleosis. Annals of Otology, Rhinology and Laryngology, 89: 430433.CrossRefGoogle ScholarPubMed
York, W. H. (1962) Spontaneous Rupture of the Spleen. Journal of the American Medical Association. 179: 178179.Google ScholarPubMed