0
ARTICLE |

Acute Hemolytic Anemia and Hemoglobinuria Complicating Infectious Mononucleosis

NORMAN GREEN, M.D., F.R.C.P.(C); HENRY GOLDENBERG, M.D., F.R.C.P.(C)
AMA Arch Intern Med. 1960;105(1):108-111. doi:10.1001/archinte.1960.00270130124016.
Text Size: A A A
Published online

The association of acquired hemolytic anemia and infectious mononucleosis is undoubtedly rare, there being only 21 cases found in the literature.1-17 The demonstration of autoimmune bodies as the etiological mechanism in the hemolytic process has been well documented in only six cases.3,5,9,10,13,14 The case to be reported was one of infectious mononucleosis complicated by fulminating hemolysis and massive hemoglobinuria in which an autoimmune mechanism was felt to be responsible.

Report of Case  The patient was a 45-year-old man who was in good health until seven days before admission to hospital. At that time, he began to have chills, fever, and nausea, associated with generalized malaise. He remained at home for one week with the above complaints before seeking medical aid. He was admitted to hospital by his physician, who noted slight icterus associated with a dark urine, the provisional diagnosis being infectious hepatitis. There had been no previous

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 30

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();