this week i managed to see a patient with this disease. a 4y 7m old boy with hx of fever and runny nose for 6 days. following then the mother noticed presence of lumps on bilateral part of the neck.
upon physical exanination, other LNs were also palpable; axillary, inguinal. per abd revealed hepatosplenomegaly.
differentials : cmv, malignancy ( leukemia/lymphoma), leptospirosis
infectious mono is a clinical diagnosis!
ivx : fbc to look for leukocytosis with lymphocytosis.
monospot test
tx : symptomatic / supportive tx. antiviral is not proven to be beneficial clinically!
What and If
5 years ago
1 shout outs!:
what is tx ? :O
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