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Epstein-Barr Virus and the Immune SystemHide and Seek
Jeffrey I. Cohen, MD
JAMA. 1997;278(6):510-513.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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CASE PRESENTATION
A 35-YEAR-OLD an was admitted to the Warren Grant Magnuson Clinical Center at the National Institutes of Health, Bethesda, MD, with Burkittlymphoma. The patient had been in good health until 2 months before admission, when he developed back pain. One month before admission, he noted left supraclavicular adenopathy followed by numbness in the left flank, clonus of the left leg, and a rapidly increasing mass in the left paraspinal area. He was admitted to a local hospital, where a biopsy specimen of the supraclavicular node showed lymphoma. A computed tomographic scan showed periaortic and retroperitoneal lymphadenopathy, and a magnetic resonance image showed extradural compression of the spinal cord. The patient received oral dexamethasone and radiotherapy to the area of cord compression; the back pain resolved and the paraspinal mass diminished in size.
On examination at the Clinical Center, there was no apparent lymphadenopathy or hepatosplenomegaly, and
. . . [Full Text PDF of this Article]
Author Affiliations
From the Laboratory of Clinical Investigation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.
Footnotes
Reprints: Jeffrey I. Cohen, MD, Medical Virology Section, Laboratory of Clinical Investigation, Bldg 10, Room 11N214, National Institutes of Health, Bethesda, MD 20892.
Grand Rounds at the Clinical Center of the National Institutes of Health section editors: John I. Gallin, MD, the Clinical Center of the National Institutes of Health, Bethesda, Md; David S. Cooper, MD, Contributing Editor, JAMA.
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