‘Kissing tonsils’ and splenic infarction from infectious mononucleosis

Nicholas L. Kensey; James Higgs

doi:10.3949/ccjm.90a.22079

The Clinical Picture

‘Kissing tonsils’ and splenic infarction from infectious mononucleosis

Nicholas L. Kensey, DO and James Higgs, MD

Cleveland Clinic Journal of Medicine August 2023, 90 (8) 463-464; DOI: https://doi.org/10.3949/ccjm.90a.22079

Nicholas L. Kensey

Department of Internal Medicine, Brown University / Kent Hospital, Warwick, RI

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For correspondence: [email protected]

James Higgs

Department of Internal Medicine; Division of Infectious Diseases, Kent Hospital, Warwick, RI; Assistant Professor of Medicine, Warren Alpert Medical School of Brown University, Providence, RI

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Figure 1
Image captured at bedside upon arrival to the emergency department showing “kissing tonsils.”
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Figure 2
Axial computed tomography of the abdomen with intravenous contrast shows splenomegaly with multiple acute-appearing splenic infarcts visualized as large, wedge-shaped peripheral areas of non-enhancement (arrows).

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Cleveland Clinic Journal of Medicine

Vol. 90, Issue 8

1 Aug 2023

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‘Kissing tonsils’ and splenic infarction from infectious mononucleosis

Nicholas L. Kensey, James Higgs

Cleveland Clinic Journal of Medicine Aug 2023, 90 (8) 463-464; DOI: 10.3949/ccjm.90a.22079

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‘Kissing tonsils’ and splenic infarction from infectious mononucleosis

Nicholas L. Kensey, James Higgs

Cleveland Clinic Journal of Medicine Aug 2023, 90 (8) 463-464; DOI: 10.3949/ccjm.90a.22079

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