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Mononucleosis in children: diagnosis and treatment

Mononucleosis in children: diagnosis and treatment


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Mononucleosis in children is a popular viral disease that spreads with saliva, that's why it's called often kisses' disease. About 90% of middle-aged people have antibodies in their blood that indicate they have undergone mononucleosis. Most infections occur in early childhood, when children exchange toys, they often put their fingers in their mouths, which results in easier transmission of the infection.

In young children, the disease is mild and symptomatic resembles a cold. A more serious course of mononucleosis has in adults.

Mononucleosis in children: a cause

Mononucleosis in children is caused by a herpes virus that was identified for the first time in 1964 by two British scientists and from their names he took the name - Epstein-Barr (EBV). The disease itself was known, however, much earlier.

Mononucleosis is mediated through saliva, blood and other body fluids. Close contact is needed to transmit the virus - hence the term 'kiss disease'.

Mononucleosis in children: symptoms

The infectious mononucleosis virus may remain dormant for several weeks, may also have no symptoms, and may be transmitted to other people without being "infected". On the other hand, not everyone who lives in close contact with a sick person will also develop mononucleosis. This is because after the mononucleosis is overcome, the virus remains latent, but from time to time it multiplies and is present in saliva. In this way it can be transferred to another person.

Symptoms of mononucleosis resemble flu. Most often appears fever, headache, apathy and malaise. A very characteristic symptom is swollen lymph nodes. It appears in many children sore throat, a common symptom is white spots in the back of the throat. It can also appear inflammation of the tonsils.

Higher temperature in the course of mononucleosis can last up to three weeks. Sometimes they join chills, decreased appetite, puffy eyelids, photosensitivity, anemia.

However, most infants and young children undergo mononucleosis very mildly or without symptoms at all.

In some patients, mononucleosis may be associated with an onset red rash all over the body. Occasionally, spots and darkened areas in the mouth may appear.

Mononucleosis in children can affect internal organs. Liver enlargement is typical, few people may change their skin color to more yellow. In very few cases, mononucleosis can lead to complications - rupture of the spleen, decrease in platelets, swelling of the brain or spinal cord, and even encephalitis. Fortunately, these are rare cases.

How is mononucleosis diagnosed in children?

Mononucleosis in children is diagnosed based on detailed medical history, symptoms and blood tests. Tests may include morphology, including white blood cell counts. A blood test may also show the appearance of a large amount of anti-mononucleosis antibodies.

When does mononucleosis in children pass?

In most children, mononucleosis passes two weeks after observing the first symptoms. Unfortunately, fatigue may persist for up to two months after illness.

How to treat mononucleosis in children?

Mononucleosis is a disease caused by viruses, which is why treatment is usually symptomatic. It is based on lowering the high temperature with antipyretics, pain relief, as well as supporting the body in the fight against the disease, thanks to rest. Children with mononucleosis should not play sports, the risk of possible injury and enlarged spleen is too great.



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