Infectious Mononucleosis

Abstract

Infectious mononucleosis is a clinical entity characterized by sore throat, cervical lymph node enlargement, fatigue and fever most often seen in adolescents and young adults and lasting several weeks. It can be caused by a number of pathogens, but this chapter only discusses infectious mononucleosis due to primary Epstein-Barr virus (EBV) infection. EBV is a γ-herpesvirus that infects at least 90% of the population worldwide. The virus is spread by intimate oral contact among teenagers and young adults. How preadolescents acquire the virus is not known. A typical clinical picture with a positive heterophile test is usually sufficient to make the diagnosis, but heterophile antibodies are not specific and do not develop in some patients. EBV-specific antibody profiles are the best choice for staging EBV infection. In addition to causing acute illness, there can also be long-term consequences as the result of acquisition of the virus. Several EBV related illnesses occur including certain cancers and autoimmune diseases, as well as complications of primary immunodeficiency in persons with the certain genetic mutations. A major obstacle to understanding these sequelae has been the lack of an efficient animal model for EBV infection, although progress in primate and mouse models has recently been made. Key future challenges are to develop protective vaccines and effective treatment regimens.

Clinical features, pathological findings and outcome of children admitted to a tertiary care paediatric hospital with Epstein-Barr virus infection

“…Epstein-Barr virus (EBV) is a gamma herpesvirus 1 . It commonly manifests as acute infectious mononucleosis affecting adolescents and young adults 1 .…”

“…It commonly manifests as acute infectious mononucleosis affecting adolescents and young adults 1 . In young children EBV is usually asymptomatic or mild 1 .…”

“…It commonly manifests as acute infectious mononucleosis affecting adolescents and young adults 1 . In young children EBV is usually asymptomatic or mild 1 . EBV is rarely associated with lymphoproliferative disorders and tumours such as nasopharyngeal carcinoma and Burkitt lymphoma 2 .…”

“…EBV is rarely associated with lymphoproliferative disorders and tumours such as nasopharyngeal carcinoma and Burkitt lymphoma 2 . _________________________________________ 1 Chittaranjan Seva Sadan, India *Correspondence: abu89.cmc@gmail.com …”

The status of resistance in children after infectious mononucleosis

“…Инфекционный мононуклеоз (ИМ) -острое инфекционное заболевание, вызы-ваемое в основном вирусами герпетической группы [1,2]. Герпетическая инфекция приводит к возникновению иммунодефицитных состояний и формированию группы часто болеющих детей [3,4,5].…”