2023-05-18 04:04:35
Dr. Manoon reveals the case of a patient with mononucleosis It is common in adolescents aged 10-19 years. Fever, headache, dry cough, sore throat, white lesions on both sides of the tonsils are transmitted through kissing. saliva touch
May 18, 2023 Dr. Manoon Leechawengwong, a specialist in respiratory diseases Vichaiyut Hospital Post messages via fan page. Doctor Manoon Leechawengwong FC In the case of patients with infectious mononucleosis
by stating that A 31-year-old female patient, usually healthy. On April 20, 2023, she started to have a high fever, headache, and dry cough. She came to see a doctor after being sick 4 days after physical examination. Slightly enlarged lymph nodes around the neck, no lesions in the neck, liver, spleen not enlarged, blood phlebotomy showed slightly low leukocytes 3,670 (4,500-11,000) slightly low platelet count 131,000 (140,000-400,000) Normal lung X-ray. Send genetic code test, no dengue virus, chikungunya, Zika fever, 22 strains of PCR testing, no respiratory virus found. follow-up blood work 65% (normal 20-45%) of lymphocytes were found and 8% of atypical lymphocytes were found.
10 days after the onset of illness, still had fever, headache, but started to have a very sore throat. There are white lesions on both tonsils 2 weeks after onset of illness (see figure). Blood tests for antibodies to EB virus Heterophile Antibody positive, EBV-VCA IgM positive, EBV-VCA IgG negative (VCA=viral capsid). antigen)
diagnosed with infectious mononucleosis Mononucleosis due to infection with Epstein-Barr virus (EBV), Epsteinbarr virus (EBvirus), or human herpesvirus-4 (HHV-4), classified as human herpesvirus.
This patient presents with high fever, headache, dry cough, slightly enlarged lymph nodes around the neck, sore throat 10 days later. White lesions on both sides of the tonsils confirmed mononucleosis. EB virus infection With laboratory tests heterophile antibody positive and EBV-specific antibody IgM positive, acute initial infection takes 3 weeks for fever, headache, sore throat and throat ulcers to disappear.
The disease is most common in adolescents aged 10-19 years. It is transmitted through contact with saliva, kisses and droplet transmission of an infected person. 31 years is considered quite late. no specific treatment Most treat symptomatically. Finally recovered by itself.
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