Infectious Disease

Question 1

Epstein Barr mononucleosis

Answer 1

Epstein Barr mononucleosis is a viral illness characterized by

1. fever

2. lymphadenopathy

3. pharyngitis

maculopapular rash develops in 80% of patients treated with ampicillin

pt may also have LUQ pain secondary to splenomegaly and are at risk for splenic rupture

Question 2

Diagnosis and Management of Epstein Barr mononucelosis

Answer 2

monspot test – test for heterophile antibodies

appears in first 2 wks of illness, usually slow decline over 6 months

CBC: atypical lymphocytes often constitute > 10% of total leukocyte count

Management: supportive–abx NOT HELPFUL

analgesics, increased fluid intake, rest

warm salt water gargles for sore throat

limit activity–experts recommend that athletes not participate in contact or vigorous sports activities for at least first 3 - 4 wks of illness