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Condition Info
ConditionName
Mononucleosis (Epstain-Barr virus, EBV)
ConditionDescription
Symptoms
90-95% adults are seropositive for EBV Muscle fatigue Sore throat Malaise Fever Tonsils exudate
PhysicalFindings
Splenomegaly; Tender Lymphadenopathy (posterior cervical);
ClinicalTests
Positive heterophil AB (Monospot test); Positive EBV serology; Elevated Liver enzymes; R/O HIV if EBV tests are negative;
RiskFactors
Teenagers, young adults; 2-5 weeks after mono infection;
IsRedFlag
IsNPLEX
Consequence
B cell lymphoma: Hunching’s and not Hutchins lymphoma; Oral hairy leukoplakia; Hemolytic anemia; Thrombocytopenia; ↑Lymphocytes; Risk of spleen rapture; DIC; Aplastic Anemia;
ProgressionFromCondition
TreatmentOptions
Self limited; Rest;
PharmOptions
WebLink
https://www.merckmanuals.com/professional/infectious-diseases/herpesviruses/infectious-mononucleosis
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