Article in Japanese

Studies on the dyspnea in three cases with infectious mononucleosis

Maki HASEGAWA, Katsuya SAITO, Teruaki ISHIKAWA, Yayoi YOSHINO, Koji HASHIMOTO, Tatsuo FUCHIGAMI, Yasuji INAMO

We reported on three pediatric patients with infectious mononucleosis (IM) whose complicated dyspnea was caused by upper respiratory tract obstruction (URT). Their dyspnea rapidly improved with the administration of prednisolone (PSL) to prevent worse dyspnea.
When a patient with IM has severe dyspnea as a complication, we should notice any obstruction caused by swelling of palatine tonsil and/or adenoid. PSL should be administered as early as possible. Since PSL may disturb the immunity to EB virus, by PSL actions, we need to carefully consider the use of PSL therapy for URT obstruction.

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Department of General Pediatrics, Nihon University Nerima-Hikarigaoka Hospital, Nihon University School of Medicine

Key words
Received	February 2, 2010
Accepted	May 19, 2010

22 (3)：217─222,2010