Not Quite a Mono Spot Diagnosis. Splenic Infarction Complicating Infectious Mononucleosis

Published:November 17, 2020DOI:
      A previously healthy 19-year-old woman presented to the Emergency Department with a 10-day history of fevers, sore throat, myalgias, and fatigue. In the preceding 2 days, she had noted progressive jaundice with brief intermittent episodes of epigastric pain that were associated with nausea and loose stools. She was a nondrinker with no recent travel history or intravenous drug use. The remainder of her systems review was unremarkable. Her regular medications included an inhaled long-acting beta-agonist/corticosteroid combination, topical steroid cream, and the combined oral contraceptive pill.
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