Blood mononucleosis

Infectious mononucleosis is caused by the Epstein-Barr virus belonging to the herpes infection family. Mononucleosis is transmitted by airborne droplets from a sick person to a healthy one. Especially actively distributed with the help of kisses, for which he received his second name – the disease of kisses. Getting into the throat, the disease begins to develop and develop. It affects the lymph nodes, internal organs and can get to the nervous system, which is fraught with bad consequences. A very important blood test for mononucleosis.

The main clinical manifestations of mononucleosis

The main clinical manifestations of mononucleosis

In the initial stages, the disease is similar to the flu or sore throat. The most accurate results will only blood test. If the content of lymphocytes is increased in it, and atypical mononuclear cells are found, then the diagnosis is confirmed. Therefore, it is important to make a blood test for mononucleosis in a timely manner.

The incubation period of mononucleosis varies from 5 days to 1.5 months. The disease can have a long course with alternating periods of exacerbations and remissions. Because the total duration of the disease is often about one and a half years.

Blood mononucleosis

Signs of mononucleosis (can be marked all at once or selectively):

  • enlarged lymph nodes;
  • fever condition;
  • sore throat covered with greyish bloom;
  • tonsils inflamed and enlarged;
  • increase in body temperature up to 40 degrees;
  • severe weakness, fatigue, chills;
  • headache;
  • rash on the body;
  • stomach ache;
  • enlarged spleen and liver;
  • a blood test reveals changes in its indicators;
  • pain in the joints and muscles.

At first, the disease can be mistaken for a cold, and during the first 3-5 days a person can only observe fatigue and lethargy, headache.

The main clinical manifestations of mononucleosis

Then for about 5-10 days, the person suffers from the strongest manifestations of fever, which sometimes may not go away for a couple of weeks. A serious increase in body temperature is usually observed in adults, but in children it can be subfebrile. Some children carry mononucleosis without any changes in body temperature at all.

The most basic sign of mononucleosis is a sore throat. If you look at the pharynx, you will immediately notice a strong increase in the tonsils, and the palate and uvula also swell. Tonsils due to swelling can even close up with each other. This usually leads to the fact that the patient lays the nose, breathing becomes hoarse, in a dream he snores and sleeps with his mouth half open.

In addition to sore throat should pay attention to the condition of the lumbar lymph nodes, they usually turn out to be enlarged. In infectious mononucleosis, all organs can be affected.

To identify this disease is of great importance to conduct a blood test.

Blood counts for mononucleosis

A blood test for mononucleosis with a developed disease usually shows an increased content of monocytes and lymphocytes. Moreover, in the case of an infectious form of the disease, the leukocytosis is moderate, often the level of leukocytes may be normal or leukopenia is generally observed.

Blood counts for mononucleosis

Erythrocyte sedimentation rate (ESR) is usually estimated as moderately increased – up to 20-30 mm / hour. Sometimes analyzes show agranulocytosis. At the very beginning of the disease, an increase in the content of stab neutrophils and, conversely, a decrease in segmented neutrophils can be detected in the blood test.

But the most revealing in the diagnosis of mononucleosis by blood analysis is the fact that, in the infectious form of this disease, virocytes, atypical mononuclear cells, are detected in the blood. Moreover, these virocytes are significantly changed in both shape and size.

Such atypical cells appear in the blood at the very peak of the disease with mononucleosis, and within about 2-3 weeks they can be detected by examining the patient’s blood. Sometimes they are present in the blood for even longer months. If we talk about their number, it varies from 5-10%, and sometimes reaches 50% and above.

Blood mononucleosis

Rarely, but still it happens that in infectious mononucleosis, all mononuclears are altered, atypical. Therefore, doctors believe that the severity of the course of the disease depends on the number of altered virocytes found in the blood.

Mononucleosis treatment

If a mild or moderate form of the disease is detected, treatment can be carried out at home. If the intoxication of the body is strong, then patients must follow bed rest.

Blood mononucleosis

Often, together with mononucleosis, symptoms of hepatitis are observed. In this case, patients are advised to follow a dietary diet intended for patients with hepatitis (diet No. 5).

Some specific treatment of mononucleosis has not yet been developed. Usually, therapy is aimed at removing intoxication of the body, eliminating the symptoms of the disease, using general methods of strengthening the body. Affected throat should be rinsed with antiseptic agents.

If the accession of a bacterial infection is not revealed, then antibiotics are not used in the treatment of mononucleosis. In the case of a very strong swelling of the tonsils, which threatens the patient with asphyxiation, prescribe treatment with glucocorticoid drugs.

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