A surprising cause of chest pain.

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dc.contributor.authorBenz, Rudolfen_US
dc.contributor.authorSeiler, Kurten_US
dc.contributor.authorVogt, Markusen_US
dc.date.accessioned2007-10-05en_US
dc.date.accessioned2009-05-30T22:13:27Z
dc.date.available2007-10-05en_US
dc.date.available2009-05-30T22:13:27Z
dc.date.issued2007-10-05en_US
dc.description.abstractWe present the case of a 19 years female who was referred to our institution because of severe left-sided chest pain. While the clinical picture suggested acute mononucleosis, low O2 saturation, slightly altered ECG, and pain in the left hemithorax could not be explained by an acute EBV infection. Using a CT scan, we ruled out a pulmonary embolism. However, we found two fresh splenic infarcts. Diseases of the (left) upper abdomen can cause symptoms in the left hemithorax, which explains the atypical presentation. In the rare instance of splenic infarction in acute mononucleosis, we recommend supportive treatment. However, careful observation is needed because some data suggest a potential progression to splenic rupture. Additionally, it is debatable whether NSAID--the standard treatment of acute EBV--should be avoided in this situation because it inhibits thrombocytic functions.en_US
dc.description.affiliationDivision of Hematology, University Hospital of Zurich, Switzerland.en_US
dc.identifier.citationBenz R, Seiler K, Vogt M. A surprising cause of chest pain. Journal of the Association of Physicians of India. 2007 Oct; 55(): 725-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/89330
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAdulten_US
dc.subject.meshChest Pain --diagnosisen_US
dc.subject.meshEpstein-Barr Virus Infections --complicationsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfarction --complicationsen_US
dc.subject.meshSpleen --pathologyen_US
dc.subject.meshSplenic Diseases --diagnosisen_US
dc.titleA surprising cause of chest pain.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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