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Mononucleosis in a child: symptoms and treatment

Hello readers of the magazine. I am a pediatrician Evgeny Kovalenko. In this article I want to talk about an insidious disease – mononucleosis in a child. Its symptoms are similar to a number of other ailments. Over time, this diagnosis in society began to grow into myths that misinform or frighten parents. I propose to deal with the topic of mononucleosis in a child. Let’s start with the main thing – most often the culprit is the Epstein-Barr virus. How does he appear in a patient?

Symptoms of mononucleosis in a child
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During the examination of the child, I see the following symptoms:

Fever. Body temperature can rise up to 40 degrees. In my practice, the longest period of high temperature lasted 9 days. In my opinion, this is the most severe symptom of mononucleosis in children. With such a prolonged fever, parental anxiety is understandable. Along with the treatment of the child, have to reassure mothers and fathers. Many adults are convinced that if the child has fever for more than 3 days, then antibiotics should be taken urgently. But this is not true.
Sore throat and pain. These symptoms are often mistakenly attributed to tonsillitis. The fact is that with mononucleosis, changes in the throat are externally sore throat, so sometimes an accurate diagnosis is not so simple. In most cases, plaque and pain remain for a week. Sometimes longer.
Inflamed enlarged lymph nodes. They can increase in size and cause pain and discomfort when moving the head. It happens that the course of the disease begins with this symptom, and can be limited only by this symptom.
Swelling in the oropharynx and nose. Breathing through the nose may be virtually absent. If swelling in the oropharynx is pronounced and makes breathing difficult, then hospitalization may be required. Typically, these symptoms go away with a decrease in fever.
Common Parental Questions about Mononucleosis in Children
The acute phase of mononucleosis is accompanied by severe symptoms. Despite this, most often the disease goes away without complications. These words do not comfort parents much. Therefore, I will comment on several common fears associated with this ailment.

“Mononucleosis can lead to oncology.”
This is the most common fear in parents whose child has suffered mononucleosis. I can say that oncology can develop in the presence of concomitant pathologies. This includes AIDS, congenital immunodeficiencies, and malaria. If you have a healthy child, then the likelihood of such consequences is extremely low.
Splenomegaly – an increase in the spleen, up to the rupture of the organ.
This is extremely rare. But, to beware, after an illness I recommend avoiding bumps in the stomach for 2 weeks. That is, limit physical activity and traumatic types of games.
Even after the correction, the child seems sick. He is lethargic, tired and as if exhausted.
Yes, fatigue syndrome can persist for a long time. Usually from 2 weeks to several months.
Treatment of mononucleosis in a child
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I must warn you right away that treatment of a child’s mononucleosis with antibiotics is ineffective and should not be used. As with other viral diseases, the treatment of mononucleosis in a child is symptomatic and often limited to antipyretic drugs. Drink plenty of water. To facilitate the breathing of a small patient, hormonal preparations may be required topically (rarely systemically). Modern medicine is not advised to use the child Acyclovir. Despite the fact that the causative agent of mononucleosis is the Epstein-Barr virus, it belongs to the family of herpes viruses and some think that Acyclovir can help, but in practice it did not live up to expectations.

In conclusion, I want to say that trying to protect the child from this disease is pointless. 95% of adults already have this virus, so there is a high probability that the child will meet with it. Mononucleosis is benign, despite frightening myths. In most cases, the disease does not require special treatment. If the first symptoms appear, be sure to consult a pediatrician. The specialist will establish an accurate diagnosis and prescribe adequate treatment.

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