Infectious Mononucleosis Flashcards

1
Q

Infectious Mononucleosis Causative Pathogens

A
  • 90% EBV

- 10% not EBV, mostly CMV

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2
Q

Infectious Mononucleosis Presentation

A
  • Most have few symptoms
  • Low grade fever, fatigue and malaise
  • Sore throat
  • Exudative and large tonsils
  • Palatal petechiae and uvular oedema
  • Transient upper lid oedema
  • Lymphadenopathy
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3
Q

Infectious Mononucleosis Differentials

A
  • GAS (does not have posterior cervical, inguinal or axillary adenopathy, palatine petechiae, splenomegaly or atypical lymphocytosis
  • Bilateral periorbital oedema may also be due to Kawasaki
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4
Q

Infectious Mononucleosis Investigations

A
  • Test heterophile antibodies first

- If still negative after 6 weeks with an IM illness, test for EBV specific antibodies

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5
Q

Infectious Mononucleosis Associated Diseases

A
  • Burkitt’s

- Hodgkins

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6
Q

Infectious Mononucleosis Management

A
  • Paracetamol
  • Avoid contact sports
  • Avoid alcohol
  • Steroids if airway obstruction
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