Infectious Mononucleosis (IM)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

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Cause: Epstein Bar Virus (EBV). IM is a syndrome caused by EBV. Most EBV inf
Test: Heterophile
“infectious mononucleosis (IM). The syndrome most commonly occurs between 15 and 24 years of age. It should be suspected in patients presenting with sore throat, fever, tonsillar enlargement, fatigue, lymphadenopathy, pharyngeal inflammation, and palatal petechiae.” AAP
Treatment: Supportive treatment.
Avoid contact sports.

Caution: Don’t give amoxicillin to patients who may have mononucleosis because they often develop a rash.

Read this article.

 

Amoxicillin Rash in Mononucleosis

References

Am Fam Physician. 2015 Mar 15;91(6):372-376. http://www.aafp.org/afp/2015/0315/p372.html

Ónodi-Nagy, Katinka et al. “Amoxicillin rash in patients with infectious mononucleosis: evidence of true drug sensitization.” Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology vol. 11,1 1. 9 Jan. 2015, doi:10.1186/1710-1492-11-1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362637/

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