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David B. Okun, MD; Kouichi R. Tanaka, MD

JAMA. 1978;240(17):1888-1889.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CYTOMEGALOVIRUS (CMV) infections in healthy adults may cause an illness with a wide range of clinical manifestations. In many patients, a syndrome similar to infectious mononucleosis caused by the Epstein-Barr virus may occur. Cytomegalovirus has been identifed as a cause of this syndrome; blood transfusions have been implicated as the vehicle of transmission.¹ Relative and absolute lymphocytosis with abundant atypical lymphocytes is a common finding that may persist for months after the illness.² We present a case of asymptomatic posttransfusion CMV mononucleosis that presented with a lymphocyte count of greater than 100,000/cu mm. To our knowledge, a leukemoid reaction of this degree has not been reported in association with CMV mononucleosis.

Report of a Case

A 20-year-old man was admitted to the hospital with several injuries following a motor vehicle accident. He had been in excellent health. Results of an evaluation of his condition showed a frontal skull . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Harbor General Hospital, Torrance, Calif, and the University of California at Los Angeles School of Medicine, Los Angeles.

Footnotes
Reprint requests to Department of Medicine, Box 19, Harbor General Hospital, Torrance, CA 90509 (Dr Tanaka).

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