An analysis of the mononucleosis disease
However, ampicillin and amoxicillin are not recommended during acute Epstein—Barr virus infection as a diffuse rash may develop. One is the sudden onset of sore throat Figure 1.
Infectious mononucleosis treatment guidelines
What test is the best for diagnosing infectious mononucleosis? Use of the lymphocyte count as a diagnostic screen in adults with suspected Epstein-Barr virus infectious mononucleosis. The late lytic phase involves production of the viral capsid antigens VCA , which are the structural proteins of the capsid. The secondary form generally results from excess immunological activation, caused by numerous etiologies, including EBV infection. It is noted by authors that some of the trials included were of poor quality. Risk factors Higgins and colleagues conducted a retrospective study of approximately seropositive university students in Scotland, examining risk factors for EBV seropositivity. It is important to also exclude hemolytic anemia as a cause of jaundice in infectious mononucleosis. Latent phase EBV switches into the latent phase after infection and can remain in this state for years, circulating in memory B-cells. Less frequently, patients may also present with lymphoma or hemophagocytic disease, a complication of EBV that is discussed in greater detail below Kimura et al. The lytic phase involves three types of proteins: the immediate-early, early, and late lytic proteins. Her rubella antibodies were negative but her heterophile antibody test, which had been established as the laboratory method of choice to diagnose infectious mononucleosis, 11 was positive. Prednisone , a corticosteroid , while used to try to reduce throat pain or enlarged tonsils , remains controversial due to the lack of evidence that it is effective and the potential for side effects.
This is a general review of infectious mononucleosis. How can mononucleosis be prevented? Acyclovir for treatment of infectious mononucleosis: a meta-analysis. Especially valuable were those from researchers at Yale, who had amassed a prospective serum bank from sick students and thus had pre- and post-illness samples.
Curr Opin Pediatr. There is no licensed vaccine for prevention and no specific approved treatment.
Hepatitis from mono
Ear Nose Throat J. Additional serum samples were obtained. A causative role for EBV was supported by examination of the antibody profiles of patients with MS, scrutinizing the viral loads, epitope specificity, and quantity of antibodies, especially those against EBNA. What test is the best for diagnosing infectious mononucleosis? Reasons for admission may include severe complications e. Infectious mononucleosis is the name coined by Sprunt and Evans in 1 for an acute infectious disease consisting of fever, cervical lymphadenopathy and pharyngitis accompanied by atypical large peripheral blood lymphocytes. Risk factors for seropositivity included female gender, older age 19 years of age or older , the presence of more than one sibling, past residence in a tropical county Africa 1st, South America 2nd , and sexual activity prior to coming to the university with risk increasing significantly with the number of sexual partners. Curr Oncol Rep. Digestive Dis Sci. J Fam Pract. This is a review of case reports in the literature of severe thrombocytopenia due to infectious mononucleosis. When positive, they feature similar specificity to the heterophile antibody test. Ebstein-Barr virus How do these pathogens cause mononucleosis? Possible Link to Lymphocytic Interstitial Pneumonia LIP LIP is a pulmonary lymphoproliferative disorder of unknown etiology characterized by expansion of alveolar septa by prominent mononuclear cell infiltrates.
This is a small, randomized, controlled but non-blinded trial examining the effect of valacyclovir on the amount of EBV DNA in oral and blood compartments, as well as clinical improvement.
based on 48 review