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- $Unique_ID{BRK01444}
- $Pretitle{}
- $Title{Is Mononucleosis a Rare Thing?}
- $Subject{mononucleosis infections infectious im heterophil antibody test
- children epstein-barr virus spleen liver skin rashes abdominal pain younger
- epstein barr infection mono tests child care viruses blood viral rash}
- $Volume{A-7,S-7}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Is Mononucleosis a Rare Thing?
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- QUESTION: The youngest of our three children, age 6, after much testing by
- our doctor, is thought to have mononucleosis. It seems the first tests
- results were not too clear, but now our doctor seems convinced. We were
- wondering if this is a rare thing, and what we should do to protect our other
- children? How long does the infection last and is there any special
- medications that should be given? Thank you for any help you can give.
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- ANSWER: Cases of infectious mononucleosis (IM) are not as uncommon as once
- thought. Because the test used to diagnose the infection, the heterophil
- antibody test, may not show the same results in children, especially very
- young children, as it does in adolescents and adults, MI was believed to be
- rare in these youngsters. However, newer and more sensitive tests that can
- reveal the presence of the Epstein-Barr virus, which causes the disease, now
- enable physicians to make the diagnosis more readily. Sometimes it takes a
- while to see the full pattern of the disease in children, evolving over many
- days or even weeks. Usually there is a fever present and fatigue with
- enlarged glands in the throat and neck. Both the spleen and liver may become
- enlarged. Skin rashes and abdominal pain are seen more commonly in the
- younger patients than older ones. The infection does not seem to be too
- contagious, even amongst other members of the family. Adults rarely develop
- the infection, probably because they are already immune due to a prior contact
- that failed to develop symptoms. Even older brothers and sisters can escape
- the clinical disease in many families. There are no specific medications for
- treating IM, but rest and reduced activity is usually the mainstay of the
- supportive therapy that is necessary. Although the illness may linger for
- some weeks and months it is almost always self limited, which means it will
- gradually disappear over time.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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