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Airway Obstruction in Infectious Mononucleosis
HARVEY P. YEAGER, MD
Arch Otolaryngol. 1964;80(5):583-586.
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Upper airway obstruction in children often presents interesting and unusual problems. Severe obstruction resulting from profound hyperplasia of Waldeyer's ring is unusual whereas mild obstruction is common. The case to be presented is one of profound obstruction, secondary to infectious mononucleosis, necessitating an emergency tonsillectomy and adenoidectomy.
A 20-year review of the available literature uncovered a number of cases of upper airway obstruction of various etiologies.7,8 Johnson1 in 1944 reported the first two proven cases of infectious mononucleosis in the Negro. One of these had an anginose obstruction. The Negro child was having intermittent respiratory distress, and tracheotomy was thought necessary on several occasions. The first case of surgical intervention, a tracheotomy was reported by Jones and Jones2 in 1949. Librach3 in 1951 presented one case of obstruction due to infectious mononucleosis and reviewed six others, all of which were treated with tracheotomy. In 1953 a
. . . [Full Text PDF of this Article]
Author Affiliations
PHILADELPHIA
Assistant Instructor in Otolaryngology, Hospital of the University of Pennsylvania. Former Chief, Otolaryngology Section, 862d Medical Group (SAC), Minot AFB, ND.
From the Department of Otolaryngology, Hospital of the University of Pennsylvania.
Footnotes
Read before the Otolaryngological Section of the 11th Annual Meeting of the United States Air Force Society of Chinical Surgeons, San Antonio, Tex, May, 1963.
In accordance with paragraph 2 AFR 160-94 "The views expressed here are those of the author and do not necessarily reflect the views of the United States Air Force or the Department of Defense."
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