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女婴,6月,发热3天,皮肤巩膜黄染,伴呕吐,神志不清入院。既往因上呼吸道感染、支气管肺炎伴心力衰竭,传染性单核细胞增多症而3次住院。体检:体温37.8～39.8℃,脉搏190次,呼吸80次,鼻翼掮动,呼吸音粗糙,肝肋下2.5cm,脾肋下0.5cm。SGPT>1000μ,黄疸指数20,凡登白双相反应,血胆红素2.8mg/dl。外周血浓缩分类:中性37％,淋巴26％,单核2％,组织细胞1％;异型淋巴细胞Ⅰ型22％、Ⅱ型10％、Ⅲ型2％。嗜异性凝集试验和豚鼠肾吸收试验均为阳性。X线胸片示支气管肺炎。入院后仍昏迷、呕吐,双吸气样呼吸,瞳孔大小不等,对光反应迟钝,四肢肌张力增强伴阵发惊厥。第二天死亡。
Baby girl, June, 3 days fever, skin scleral yellow dye, with vomiting, confusion admitted to hospital. Past due to upper respiratory tract infection, bronchial pneumonia with heart failure, infectious mononucleosis and hospitalization 3 times. Physical examination: body temperature 37.8 ~ 39.8 ℃, pulse 190 times, breathing 80 times, nocturnal movements, rough breathing sounds, liver ribs 2.5cm, spleen ribs 0.5cm. SGPT> 1000μ, jaundice index 20, where Deng white biphasic reaction, serum bilirubin 2.8mg / dl. Concentration of peripheral blood classification: 37% of neutral, lymph, 26%, mononuclear 2%, 1% of the cells; atypical lymphocytes type I 22%, type II 10%, type II 2%. Heterophile agglutination test and guinea pig kidney absorption test were positive. X-ray showed bronchial pneumonia. Admission is still unconscious, vomiting, double breathing like breathing, pupil size range, unresponsive to light, limb muscle tension with array of convulsions. Died the next day.