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Dr. Andrew Rynne

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What are the symptoms and causes of mononucleosis?

hi ,my 2 year old son has leukopenia ,monocytosis,ly mphocytosis,and hepatosplenomegaly he had fever up to 38.9C for three days doctores say it it might be mononucleosis.what other thing causes such symptoms and what diagnostic investigaiton might he need ?hes ALT AST is normal.now after 8 days he feels normal he wants to play and run all the time can i allow him that
Wed, 4 Nov 2015
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Pediatrician 's  Response
Hi! Thank you for consulting with Healthcare Magic!
Infectious Mononucleosis is caused by a virus (Epstein Barr Virus). Among children, transmission may occur when there's exchange of saliva such as when they share water bottles. The symptoms are fever, sore throat, fatigue and generalized lymphadenopathy- which means enlarged lymph nodes. Patients may also complain of headache and body pain like in other viral infections. On examination, there's enlargement of the spleen and liver such as that seen in your son. Did your doctor do any test to confirm that its Infectious Mononucleosis? Although the symptoms are pointing at it. There's no specific treatment for this. Its mostly supportive, fever medicine and rest. It is best for your child to avoid strenuous activities in the next 2-3 weeks while splenomegaly is still present. We want to avoid any trauma that can cause the spleen to rupture. Hope I was able to help you. Have a good day!

Sincerely,
Hannalae Dulay-See, M.D.
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hello sir, i am male 26 here
i got a blood test of myself and the results are......
HAEMOGLOBIN: 12.4gms/dl
total w.b.c count(tc)-14,600 cells/cumm
E.S.R: 06 mm/1hr
DIFFERENTIAL COUNT(dc)
neutrophils: 68%
lymphocytes: 22%
eosinophils: 2%
monocytes: 8%
PERIPHERAL SMEAR REPORT:
RBC: Mild anisopoikilocytosis.the rbcs are normocytic/hypochromic with a few teardrop cells,target cells,acanthocytes and spherocytes.no haemparasites on the smear.
WBC: increase in distribution with neutrophilia showing toxic change and monocytosis.
PLATELETS: adequate in distribution and normal morphologically.

IMPRESSION:
1. Normocytic anaemia
2.Neutrophilic leukocytosis with toxic change and monocytosis.
no evidence of abnormal cells or blood parasites on the smear.
PLEASE SUGGEST WHAT THIS CONDITION IS...................

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