Under infectious mononucleosis is understood an acute infectious disease, which is characterized by lymph and reticuloendothelial systems.The disease is accompanied by fever, tonsillitis, polyadenylation, enlarged liver and spleen, leukocytosis with a predominance of basophilic mononuclear cells.
cause infectious mononucleosis
Sources of pathogens include patients of the infection and virus carriers.Infection can be carried by airborne droplets, if direct contact (for example, during a kiss), contact-household (through household items contaminated with saliva).The virus may also be transmitted and parenteral transplatsentranym ways.Infectious mononucleosis is found in saliva at the end of the incubation period of the disease, while its height and, in some cases, after 6 months or more after recovery.
Infectious mononucleosis is widespread, and it can hurt a person of any age, but is quite rare infectious mononucleosis can be found in adults over the age of 40 years, as most of the people at this a
ge is immune to this infection.Diagnosis usually does not give results in children under 2 years, since it has a latent within.
symptoms of infectious mononucleosis
infectious mononucleosis Symptoms include an enlarged liver and spleen, which reaches its maximum in 4-10-th day of the disease.Sometimes there may be diarrhea phenomenon, the occurrence of abdominal pain.In 5-10% of patients have easy ikterichnost skin and sclera.In a lot of cases detected increased activity of transaminases in the blood, which is a sign that the liver function is compromised.In the early period of convalescence, or in the midst of illness with antibiotic treatment, in some cases there is an allergic rash.
duration of the disease varies from 2 to 4 weeks.There is a gradual disappearance of fever and plaque on the tonsils.Later return to normal blood count, as well as the size of the lymph nodes, liver and spleen.
treatment of infectious mononucleosis
If the disease is mild and there is a possibility for the isolation of the patient, the treatment can be done at home.If the patient is in serious condition, complications arise, then there is a need to be hospitalized in the infectious department.The patient must be assigned to bed rest, symptomatic therapy.Treatment of infectious mononucleosis with antibiotics is carried out, if there is a bacterial complication.We should not forget that the patients with infectious mononkulezom absolutely contraindicated ampicillin and oxacillin.If there is a severe course of illness, then held a short course of glucocorticoid therapy.
After treatment of infectious mononucleosis
As rehabilitation must be seen in the clinic for 6 months after treatment.The period of rehabilitation can last longer.The monitoring involves a pediatrician, infectious disease specialists narrow areas (ENT, immunology, cardiology, oncology, hematology).Apply additional clinical and laboratory studies.When rehabilitation is necessary to protect itself from emotional stress for 6-7 months and does not give the body to exercise.Always worth to be on the alert, since the launch of autoimmune reactions can be triggered by any compromising.
Complications after infectious mononucleosis
following complications may occur as a result of infectious mononucleosis:
1. Neurological: cranial nerve palsy, encephalitis, polyneuritis, meningoencephalitis;
2. Hematologic: thrombocytopenia, autoimmune hemolytic anemia, granulocytopenia.Ruptured spleen may occur;
3. On the respiratory system: airway obstruction, pneumonia;
4. At the heart and blood vessels: myocarditis, pericarditis, systemic vasculitis.
Prevention after infectious mononucleosis
as prevention of infectious mononucleosis is necessary to observe the rules of hygiene.It should be isolated from the patient 3-4 weeks, given the clinical and laboratory data.You must also use the diagnostic measures before and during pregnancy.To date, developed no specific prevention.