Infectious mononucleosis

Revision as of 11:55, 21 November 2011 by Jswartz (talk | contribs) (Created page with "==Background== *Caused by Epstein-Barr virus **CMV and HHV-6 may cause mononucleosis-like illnesses ==Clinical Features== *Triad of: **Fever **Pharyngitis **Lymphadenopathy ==D...")
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Background

  • Caused by Epstein-Barr virus
    • CMV and HHV-6 may cause mononucleosis-like illnesses

Clinical Features

  • Triad of:
    • Fever
    • Pharyngitis
    • Lymphadenopathy

Diagnosis

  • Heterophile antibody (monospot) test
    • Up to 25% of pts in 1st week of symptoms may have false negative test
    • 10% of pts w/ EBV infection will be persistently negative
  • Amoxicillin reaction
    • Amoxicillin in pt w/ EBV will cause maculopapular rash in most

Treatment

  • Supportive

Source

Tintinalli

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