0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Ruptured Spleen in Infectious Mononucleosis

S. Barry Sakulsky, MD; Robert B. Wallace, MD; Murray N. Silverstein, MD; Malcolm B. Dockerty, MD
Arch Surg. 1967;94(3):349-352. doi:10.1001/archsurg.1967.01330090043010.
Text Size: A A A
Published online

ALTHOUGH spontaneous rupture of the spleen in infectious mononucleosis is a relatively rare complication, it is the most common cause of death in these patients. In reviewing 44 cases of spontaneous rupture of the spleen, Smith and Custer1 found that infectious mononucleosis was second only to malaria as the cause of rupture.

The first well-documented case of infectious mononucleosis complicated by splenic rupture was reported by King2 in 1941. In 1962, York3 reviewed 45 previously reported cases and added a case from his own experience. Since then, there have been a number of reports,4-8 and recently a case of ruptured spleen secondary to infectious mononucleosis was encountered at the Mayo Clinic. This was the first in spite of the large number of cases of infectious mononucleosis that have been seen at this institution.

Report of Case  A 17-year-old white girl was admitted to the hospital on

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();