MICHAEL V. FERNANDES, M.D.; BRIAN GRIMMETT, M.D.; JAMES E. CLARK, M.D., F.A.C.P.
To the editor: The paper by Bernardo Rodríguez-Iturbe and his associates (1) has been of considerable interest to us. Being aware of consistent reports linking infectious mononucleosis to the Guillain-Barré-Strohl syndrome (2) and also to renal disease (3), which was later shown to be of the "immune complex" type (4), we were interested to know whether the patients manifested the clinical and serologic features of infectious mononucleosis.
Our specific argument is that, if acute neural and renal involvement is the effect of a presumable viral disease, infectious mononucleosis should be considered in the diagnosis.
FERNANDES MV, GRIMMETT B, CLARK JE. Renal Disease, Mononucleosis, and the Guillain-Barré-Strohl Syndrome. Ann Intern Med. ;78:982. doi: 10.7326/0003-4819-78-6-982_1
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Published: Ann Intern Med. 1973;78(6):982.
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