Infectious mononucleosis in older adults.
P Axelrod, AJ Finestone - American family physician, 1990 - europepmc.org
P Axelrod, AJ Finestone
American family physician, 1990•europepmc.orgInfectious mononucleosis as a manifestation of primary Epstein-Barr virus infection occurs
uncommonly in adults over age 40. While fever is almost universal, older patients with the
disease often present without lymphadenopathy, pharyngitis, splenomegaly, lymphocytosis
or atypical lymphocytes. Jaundice and hepatomegaly occur more commonly in older
patients than in adolescents and create diagnostic confusion. Often, infectious
mononucleosis in this age group is confused with lymphoma, leukemia or biliary obstruction …
uncommonly in adults over age 40. While fever is almost universal, older patients with the
disease often present without lymphadenopathy, pharyngitis, splenomegaly, lymphocytosis
or atypical lymphocytes. Jaundice and hepatomegaly occur more commonly in older
patients than in adolescents and create diagnostic confusion. Often, infectious
mononucleosis in this age group is confused with lymphoma, leukemia or biliary obstruction …
Infectious mononucleosis as a manifestation of primary Epstein-Barr virus infection occurs uncommonly in adults over age 40. While fever is almost universal, older patients with the disease often present without lymphadenopathy, pharyngitis, splenomegaly, lymphocytosis or atypical lymphocytes. Jaundice and hepatomegaly occur more commonly in older patients than in adolescents and create diagnostic confusion. Often, infectious mononucleosis in this age group is confused with lymphoma, leukemia or biliary obstruction, or is classified as" fever of unknown origin."
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