PEDIATRICS Vol. 48 No. 2 August 1971, pp. 338-339
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Indications for Tonsillectomy in Infectious Mononucleosis

Edward J. Feroli M.D.1, Gordon W. Mella M.D.1, Frank A. Pedreira M.D.1, Regis T. Storch M.D.1, and Howard P. Gutgesell 2

1 Professional Building, 19211 Montgomery Village Avenue, Gaithersburg, Maryland 20760
2 USAF, MC 31st Tactical Hospital, Homestead AFB, Florida 33030

We read with interest the recent report, "Acute Airway Obstruction in Infectious Mononucleosis."1 Dr. Gutgesell appropriately has called attention to a serious complication of a usually benign disease. He mentions brief, high-dose corticosteroid therapy, tracheotomy, nasotracheal intubation, and IPPB as potential modes of therapy. The following case report suggests an additional therapeutic modality in the management of these patients.

A 4-year-old girl was admitted to a community hospital in acute respiratory distress associated with suspected infectious mononucleosis.