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<
 The - SystemGlandular Fever Synonyms : Clinical features, Diagnosis, Management, Prognosis, Nutrition, Herbs,
Clinical features: < BACK TO TOP >
The
infection usually presents with malaise, tiredness, headache, abdominal
discomfort, anorexia and fever (exceeding 39 oC).
Exudative
tonsillitis may follow with enlarged tonsils sometimes covered with thick white patches
which resemble pus (differential diagnosis is with streptococcal
tonsillopharyngitis).
Petechial
rash caused by ruptured capillaries may appear on palate.
Lymph
nodes, especially cervical, are enlarged, firm and mildly tender
(lymphadenopathy).
Splenomegaly
is present in large number of patients, sometimes also hepatomegaly. Maculo-papular rash, especially common if ampicillin or amoxycillin has been given for the sore throat occurs in around 20% of patients. Diagnosis: < BACK TO TOP >
Clinical
picture is very indicative but may be mistaken for bacterial
tonsillopharyngitis, when lack of response to antibiotics usually points into
right direction.
Finding
of a presence of atypical
lymphocytes (they appear large and resemble monocytes - the reason why
this disease is called mononucleosis) in the peripheral blood is very
indicative.
Heterophil
antibodies
are nonspecific and directed at antigens present on erythrocytes obtained
from sheep, horses and cattle; they appear in 50-90% of patients, and can be
detected using rapid agglutination screening tests.
Epstein-Barr
virus infection is ultimately established by detecting specific
anti-EBV antibodies.
Sometimes
elevation of liver transaminase enzymes may be found reflecting involvement
of the liver in form of mild hepatitis. Complications: The chronic fatigue syndrome with weakness, inability to concentrate, depression, tiredness and low-grade fever is the most important complication, and can last for months (seen in 1-2% of patients). Management < BACK TO TOP >
This
is entirely symptomatic.
Rest
is important during the acute illness. A short course of corticosteroids is indicated for severe tonsillar enlargement causing dysphagia and difficulty in breathing. Prognosis < BACK TO TOP >
Nutrition < BACK TO TOP > Nutrition that alleviate or prevent Glandular Fever :- Herbs < BACK TO TOP > Herbs that alleviate or prevent Glandular Fever :- (source : -) |
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