Epstein-Barr Virus Infectious Mononucleosis in a Splenectomized Patient
Bibliographic record
Abstract
The clinical picture in infectious mononucleosis (IM) consists primarily of pharyngitis, fever, and lymphadenopathy. IM is a common clinical syndrome. However, little attention has been paid to a clinical feature of IM that can occur in a previously splenectomized subject. Indeed, the clinical features of splenectomized patients with IM have not yet been fully described. Especially, in Epstein-Barr virus (EBV), to our knowledge, there is no report in the English language literature. We describe here an atypical IM case; an asplenic but healthy male presented with acute primary EBV infection. He was afebrile, there was an absence of lymphadenopathy, and there was relatively marked lymphocytosis in his peripheral blood. This case illustrates that an asplenic state can distort the typical clinical picture of EBV mononucleosis. doi: http://dx.doi.org/10.4021/jmc1254e
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".