Infectious mononucleosis

Keywords: Glandular fever

Manifestations

Appropriate Tests

 

Full blood count, Blood film (for atypical lymphocyte detection), White cell count differential, Liver function tests.

Epstein-Barr virus serology, infectious mononucleosis screening test.

Viral capsid Ab is more reliable (IgG and IgM). EBNA antibodies to date infection.

See also mononucleosis syndromes under Lymphocytosis.

Pharyngitis

 

Fever

 

Lymphadenopathy

 

Splenomegaly

 

Hepatitis

 

Rash

Particularly with amoxycillin.

Autoimmune haemolysis

 

Thrombocytopenia

Significant thrombocytopenia is usually due to immune platelet destruction.

Neutropenia

 

Immunodeficiency

Prolonged immunodeficiency is a rare sequel.