Infectious Mononeucleosis

Question 1

Mononucleosis Symptoms

Answer 1

Fever, Pharyngitis, Adenopathy, Malaise, Atypical Lymphocytosis

Question 2

Diagnosis of Mononucleosis

Answer 2

Monospot Test: Heterophile antibody that agglutinates sheep erythrocytes

Question 3

Treatment of Mononucleosis

Answer 3

Supportive care, hydration, throat lozenges
Corticosteroids for breathing issues caused by edema
Avoid contact sports 3-4 weeks

Question 4

Complications of Mononucleosis

Answer 4

Splenomegaly, Hepatomegaly, Jaundice, Splenic Rupture, Splenic Infarction

Question 5

What ages is Mononucleosis common in?

Answer 5

10-19 year olds, college students, no one over 30

Question 6

Epstein Barr Virus

Answer 6

Human Herpes Virus 4; replicated in lymphocytes and epithelial cells of pharynx and parotid duct

Question 7

Cytomegalovirus

Answer 7

Human Herpes Virus 5; latent in leukocytes; infects immunocompromised persons and infants

Question 8

CMV induced Mononucleosis

Answer 8

Elevated liver enzymes

Question 9

CMV and HIV

Answer 9

T helper cell count less than 50; skin disorders; retinitis

*Take anti-CMV agents

Question 10

CMV and Kidney Transplats

Answer 10

Fever, Leukopenia, Atypical Lymphocytes, Hepatomegaly

*Take anti-CMV agents