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afya
GlandularFever
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> Infectious mononucleosis - Epstein Barr virus (Humanherpes virus 4) common in adolescents and young adults Features Sore throat, LN, pyrexia malaise, headache, anorexia palatal petechiae splenomegaly (50% - rarely spenic rupture), hepatitis 50% lymphocytes (at least 10% atypical) haemolytic anaemia (2ndary to cold agglutinins IgM) maculopapular pruritic rash in 99% of those who take amoxil/ ampicillin Diagnosis - heterophil antibody test (monospot) Mx supportive - fluids, rest, no alcohol, simple analgesia no contact sports for 8/52 (consensus in UK)
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