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Its Occurrence and Diagnosis in a Patient With No Other Signs of Infection

James P. Dudley, MD

Arch Otolaryngol. 1982;108(4):253-254.

Abstract
• Although Epstein-Barr infectious mononucleosis (IM) might be considered in the differential diagnosis of multiple neck masses in a young adult, single large masses are not usually associated with IM. This patient did have a solitary mass. Despite lacking other signs of IM, he did have a positive heterophil-agglutination titer and reactive lymphocytes. Other serologic tests can be of value in confirming the diagnosis, especially if the heterophil titer and reactive lymphocytes are absent. These tests are viral capsid antigen IgM and IgG, early antigen, and nuclear antigen. Surgeons should be aware of their usefulness, especially when trying to confirm a difficult diagnosis.

(Arch Otolaryngol 1982;108:253-254)

Author Affiliations
From the Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles.

Footnotes
Accepted for publication Aug 19, 1981.

Read before the annual scientific meeting of the Southern California Chapter of the American College of Surgeons, Santa Barbara, Calif, Jan 24, 1981.

Reprint requests to Division of Head and Neck Surgery, 62-158, UCLA Medical Center, Los Angeles, CA 90024 (Dr Dudley).

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ABSTRACT