[Spontaneous splenic rupture as a complication of infectious mononucleosis]. / Samoistne pekniecie sledziony w przebiegu mononukleozy zakaznej.

Spontaneous splenic rupture as a complication of infectious mononucleosis in 17-years old man was described. Clinical manifestations of infectious mononucleosis were typical without any sign of the splenic rupture. At the end of third week of the disease sonographic investigation revealed subcapsular hematoma of the spleen without overt rupture. The patient was observed. Five days later in the next sonographic investigation the second hematoma of the spleen appeared. Patient was treated underwent splenectomy and he remain alive and well. Authors suggest that in cases with subcapsular hematoma of the spleen splenectomy remains the treatment of choice. Mononucleosis patients with significant enlarged spleen should be observed very carefully. Authors propose control sonographic investigation in 3rd or 4th week of the disease in those cases.

[Case of heterozygotic SC hemoglobinopathy with high titre of indirect immunofluorescence reaction with Plasmodium falciparum antigen]. / Przypadek heterozygotycznej hemoglobinopatii SC z wysokim mianem odczynu immunofluorescencji posredniej (IFP) z antygenem Plasmodium falciparum.

The authors report the first in the Polish literature case of combined heterozygotic SC haemoglobinopathy in a Nigerian aged 20 years. The diagnosis was based on the results of haemoglobin electrophoresis and clinical signs. The titre of IFP with Plasmodium falciparum was very high and malarial pigment was found in lymph nodes.