Infectious mononucleosis: retrospective study
DOI:
https://doi.org/10.34631/sporl.211Keywords:
infectious mononucleosis, admission, complicationsAbstract
Introduction: Infectious mononucleosis is a disease caused by Epstein Barr virus and has diverse clinical manifestations. In children it is usually asymptomatic whereas in adolescents and adults it classically appears with fever, pharyngitis and lymphadenopathy. Although typically self-limited, occasionally it can complicate with a wide variety of neurologic, hematologic, hepatic, respiratory and psychological symptoms that can lead to hospital admission.
Materials and Methods: Retrospective review of clinical charts of patients admitted with infectious mononucleosis diagnosis between 2000 and 2009 in order to assess symptoms, physical findings examination, laboratory data and treatment.
Results: Clinical charts of 87 patients admitted with infectious mononucleosis were analyzed. The majority of them were previously healthy patients with a mean age 12,6 years. The most common symptoms were fever, odynophagia and lymphadenopaty. The most frequent reason for admission were severe odynophagia and hepatitis/splenomegaly. Treatment was essentially supportive.
Conclusions: Infectious mononucleosis is usually a benign selflimited disease that in certain cases can become complicated with a variety of symptoms and needs to be treated in a hospital setting.
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