n CME : Your SA Journal of CPD - Case report : a case of infectious mononucleosis presenting with headache, loss of weight, and lethargy

Volume 24, Issue 5
  • ISSN : 0256-2170



Extracted from text ... A 22-year-old white male with no significant past medical history presented to the Department of Medicine with a 1-month history of lethargy, loss of appetite, 3 kg weight loss, and worsening frontal headaches. Examination was unremarkable apart from mild terminal meningism. He was apyrexial, without a pharyngitis, lymphadenopathy, or organomegaly. Blood results showed a white cell count of 9.10 (with a lymphocytosis of 79.2% and neutrophils of 13.8%). Atypical lymphocytes and mild neutropenia were observed on blood smear. Platelet count was 128, ESR 5 mm/h, CRP 12. Electrolytes were normal and liver function tests were deranged (bilirubin 25 mmol/l, ..

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