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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Mononucleosis Cause Sore Throat And Bumps On Body?

My daughter was diagnosed with mononucleosis about 3 weeks ago. So far, except for theytypcial raging sore throat for 3 days and lymph nodes still swollen, she has experienced little discomfort. However, 2 days ago she started to find little raised bumps on her face and thought it might be pimples from bronzing cream she had used. She now has them on her arms, ears and bottom of her feet. Not red, more skin coloured and not really itchy. Could this rash be from the mono virus?
Thu, 27 Aug 2015
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General & Family Physician 's  Response
Hello,

Welcome to Health Care Magic. I read your query and I understand your concerns.

Yes, this rash be from the mono virus. The common symptoms usually consist of fever, pharyngitis, and lymphadenopathy, but sometimes a rash could be present. Mono rash is a common symptoms experienced when affected with mononucleosis. It usually develops on 7 to 10 days after treatment with beta-lactam antibiotics such as ampicillin, amoxicillin and cephalosporins.
Typically this rash is tan or brownish in color. Since the color is quite different than the typical very red allergic-type rash, this should not be misinterpreted as a penicillin allergy.If such rashes appear then it is a clear indication of hypersensitivity reaction to antibiotic. However, this is not a real allergy and does not mean that the person is allergic to such medications. This rash indicates a ‘hypersensitivity reaction’ to the antibiotic. If the antibiotic is given later on in the absence of EBV infection the reaction doesn't occur, so it is not a true allergy. However, because the shape and distribution of the rash of infectious mononucleosis plus antibiotics are similar to an allergic-type rash, they could be often confused by patients and clinicians.

Hope I helped with my answer. For further concerns or follow up questions, don't hesitate to write again.

Take Care,
Dr. Ina
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Can Mononucleosis Cause Sore Throat And Bumps On Body?

Hello, Welcome to Health Care Magic. I read your query and I understand your concerns. Yes, this rash be from the mono virus. The common symptoms usually consist of fever, pharyngitis, and lymphadenopathy, but sometimes a rash could be present. Mono rash is a common symptoms experienced when affected with mononucleosis. It usually develops on 7 to 10 days after treatment with beta-lactam antibiotics such as ampicillin, amoxicillin and cephalosporins. Typically this rash is tan or brownish in color. Since the color is quite different than the typical very red allergic-type rash, this should not be misinterpreted as a penicillin allergy.If such rashes appear then it is a clear indication of hypersensitivity reaction to antibiotic. However, this is not a real allergy and does not mean that the person is allergic to such medications. This rash indicates a ‘hypersensitivity reaction’ to the antibiotic. If the antibiotic is given later on in the absence of EBV infection the reaction doesn t occur, so it is not a true allergy. However, because the shape and distribution of the rash of infectious mononucleosis plus antibiotics are similar to an allergic-type rash, they could be often confused by patients and clinicians. Hope I helped with my answer. For further concerns or follow up questions, don t hesitate to write again. Take Care, Dr. Ina