When it comes to high fever, fever and sore throat.

　　The first thing many parents think of is catching a cold.

　　However, there is a disease.

　　It’s like a cold, not a cold.

　　But highly contagious.

　　It is infectious mononucleosis.

　　near future

　　Quanzhou Children’s Hospital, Fujian Province

　　Several cases appeared in pediatric outpatient department.

　　Infectious mononucleosis

　　Symptoms resemble a cold.

　　Four-year-old children suffer from this infectious disease.

　　Let’s take a look!

　　"The child has a cold, high fever, sore throat, swollen eyelids, and multiple large bags bulging on one or both sides of the neck. What’s the matter?"

　　Not long ago, in Quanzhou Children’s Hospital, Ms. Liu, a four-year-old Dongdong (pseudonym) mother, revealed endless worries in her anxious tone.

　　At first, Ms. Liu thought it was just a cold and didn’t care too much, but the symptoms lasted for several days. Ms. Liu rushed to send her child to Quanzhou Children’s Hospital for treatment. The final diagnosis was infectious mononucleosis.

　　What is it?

　　Infectious mononucleosis?

　　Infectious mononucleosis is an acute or subacute benign lymphocytosis infectious disease caused by EB virus, with normal or slight increase in white blood cells, mainly neutrophils in the early stage, and then lymphocytes increase, which is easy for children and adolescents.

　　After being infected with EB virus for the first time, the symptoms are different. Teenagers are often heavier than teenagers. The younger they are, the less typical the symptoms are. Infants may have asymptomatic infection or only upper respiratory tract infection.

　　Infectious mononucleosis occurs all year round, and the population infection rate is high, mostly in early childhood, and the infected people become lifelong virus carriers.

　　At present, there is no specific treatment for the disease, and symptomatic treatment is the main treatment. If the condition is serious, the disease progresses rapidly or there are complications, antiviral drugs can be given. Patients should pay attention to rest, maintain adequate water intake and relieve symptoms appropriately during the onset period.

　　Fever, angina, cervical lymphadenopathy

　　Is a typical feature.

　　The typical clinical "triad" of infectious mononucleosis is fever, angina and cervical lymphadenopathy, which may be accompanied by hepatosplenomegaly and atypical lymphocytes. The specific features are as follows:

　　Generally, patients with fever have moderate fever or high fever, which can last for several days to weeks.

　　lymphadenectasis
Systemic lymphadenopathy occurred, especially in neck, armpit and groin. Lymphadenopathy reached its peak in the first week, and then gradually subsided within 2-3 weeks.

　　Fatigue, sore throat, listlessness, limb weakness. It is often accompanied by pharyngeal inflammation and tonsil exudate, which can be white or grayish green.

　　Some patients with hepatosplenomegaly will be accompanied by hepatosplenomegaly symptoms, which usually begin to retract in the third week of the disease.

　　rash
The probability of occurrence is 10%, and the common rash is generalized, which mostly appears on the 4 th to 10 th day of the course. Such as papules, maculopapules, urticaria, scarlet fever-like maculopapules, etc.

　　How to prevent it?

　　Infectious mononucleosis is a benign self-limiting disease. If there are no complications, the prognosis is mostly good.

　　The course of the disease is usually 1-2 weeks, but it can be repeated. Some patients have low fever, swollen lymph nodes, fatigue and fatigue after illness for several weeks or months. The course of disease in very few cases is prolonged for several years.

　　The mortality of the disease is 1% ~ 2%, and the death is due to spleen rupture, meningitis and myocarditis. After people with congenital immunodeficiency are infected with this disease, their condition deteriorates rapidly.

　　The disease is mainly transmitted by mouth, but also by droplets and blood. Patients in the acute phase should be isolated from the respiratory tract and avoid kissing others or sharing tableware with others. Don’t go to crowded places, wash your hands frequently and get more ventilation.

　　Finally, I would like to remind everyone that when children have recurrent fever and swollen neck lymph nodes due to pharyngeal tonsillitis, they should seek medical advice in time to avoid delaying the illness.

　　Comprehensive China News Network, Jiangsu CDC and Suzhou CDC.