flashcards_ebv
When should hospital admission be arranged for a patient with EBV / Infectious Mononucleosis / Glandular Fever?
If the patient has stridor, dehydration or difficulty swallowing fluids, becomes systemically unwell, has a suspected potentially serious complication (such as splenic rupture or haemolytic anaemia), or thrombocytopenia.
What supportive care is recommended for EBV / Infectious Mononucleosis / Glandular Fever?
Paracetamol (10-15mg/kg every 4-6hrs) or ibuprofen (5-10mg/kg every 4-6hrs), good hydration, rest, without physical activity and contact sports up to 8 weeks after.
What is the expected course of illness for EBV / Infectious Mononucleosis / Glandular Fever?
Symptoms usually last for 2–4 weeks. Tiredness is common. Exclusion from work or school is not necessary but tailor activities to what they find comfortable. Limit spread by avoiding kissing and sharing of eating utensils. Avoid heavy lifting and contact or collision sports for the first month of the illness.
When may oral prednisolone be given for EBV / Infectious Mononucleosis / Glandular Fever, and what should be done?
Oral prednisolone may be given if upper airway obstruction or haemolytic anaemia is present, and the patient should be admitted to hospital.
What treatment may be given for active bleeding due to thrombocytopenia in EBV / Infectious Mononucleosis / Glandular Fever?
IVIG may be given.
Why should ampicillin and amoxicillin be avoided in children infected with EBV?
Because they can cause a florid maculopapular rash.
Why should aspirin be avoided in children with EBV?
Due to the risk of triggering Reye’s syndrome.
