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Arch Dis Child 83:443-444 doi:10.1136/adc.83.5.443
  • Article

Pseudoinfectious mononucleosis: a presentation ofBartonella henselae infection

Table 1

Clinical and laboratory features in six children with B henselae infectious mononucleosis like illness

Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6
Age (y) 3.5 2.1 2.7 2.3 5 4
Fever >39°C (days) 35 9 15 10 10 5
Periorbital oedema P P P A P P
Adenomegaly Cervical submandibular Cervical submandibular Cervical submandibular Cervical Cervical subandibular Cervical
submandibular
Tonsillitis with exudate P A P P A A
Nasal obstruction A P P P P P
Splenomegaly P P P A P P
ESR (mm/h) 82 129 100 68 81 54
Leucocytes (× 109/l) 18 11.6 28.5 20.4 15.4 15.5
Neutrophils (× 109/l) 0.75 0.68 0.73 0.56 0.79 0.59
Platelets (× 109/l) 500 470 530 465 444 400
CRP × N1-150 N 2 12 3 6 3
IgG (g/l) 2.30 3.82 0.96 1.43 1.78 1.46
IgA (g/l) 0.17 0.14 0.16 0.20 0.21 0.12
IgM (g/l) 0.78 0.27 0.27 0.42 0.49 0.45
Alanine aminotransferase activity N N N N N N
B henselaeIFA-IgM POS POS POS POS POS POS
B henselaeIFA-IgG 1/1024 >1/1024 >1/1024 1/2048 1/1024 1/1024
Recovery (days) 60 10 15 20 15 15
  • 1-150 N, <0.05 g/l. P, present; A, absent; N, normal activity; POS, positive; IFA, immunofluorescence antibody.

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