WILLIAM BYRON HERLONG, M.D.; RICHARD H. ESHAM, M.D.
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To the editor: We read with great interest the article by Jordan and associates (Ann Intern Med 79:153-160, 1973) concerning spontaneous cytomegalovirus mononucleosis. The usual clinical course is that of a mild febrile illness without prominent splenomegaly or lymphadenopathy; however, a more severe illness with prominent splenomegaly and lymphadenopathy may occur, and, as Jordan emphasizes, these clinical findings should not lead the clinician to exclude the diagnosis. We report here an unusual presentation of spontaneous cytomegalovirus mononucleosis in an asymptomatic individual with prominent lymphadenopathy and splenomegaly.
Patient D.C. is a 15-year-old white boy who was seen 6 July 1973 with
HERLONG WB, ESHAM RH. Asymptomatic Cytomegalovirus Mononucleosis. Ann Intern Med. ;79:756. doi: 10.7326/0003-4819-79-5-756_1
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Published: Ann Intern Med. 1973;79(5):756.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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