Abstract
We present a case of Infectious mononucleosis in a 3-year-old male who presented to us with a one-day history of sore throat, difficulty breathing, fever and general malaise. Examination showed marked enlarged hyperaemic bilateral tonsils with white exudates, palatal petechiae, dyspnoea, drooling, p e r i o r b i t a l o e d ema a n d g e n e r a l i s e d lymphadenopathy. However, on day 7 post admission and treatment he developed a clearly defined, maculopapular rash, pruritic in nature, which was accompanied with slight fever of 37.8*. His past history included an episode of otitis mediawhich was treated with amoxicillin and prior to the above presentation the child was well. The rest of the history was unremarkable. Full blood count revealed monocytosis, lymphocytosis and thrombocytosis. PCR was positive for Epstein-Barr virus (EBV). The patient was treated and therapy was instituted with good recovery. He was discharged on day 11 post admission.
Highlights
Infectious mononucleosis (I.M) typically known as “kissing syndrome” is a clinical syndrome most commonly associated with Epstein-Barr virus infection and is transmitted through oral pharyngeal secretions
Humans are the only reservoirs for Epstein-Barr virus (EBV) and it is said to be less severe in children it always leads to lifelong persistence, when the immune system is impaired, reactivation is possible
Infectious mononucleosis is a clinical syndrome most commonly associated with Epstein-Barr virus infection and is transmitted through oral pharyngeal secretions
Summary
Infectious mononucleosis (I.M) typically known as “kissing syndrome” is a clinical syndrome most commonly associated with Epstein-Barr virus infection and is transmitted through oral pharyngeal secretions. Humans are the only reservoirs for EBV and it is said to be less severe in children it always leads to lifelong persistence, when the immune system is impaired, reactivation is possible. Seroepidemiologic Studies have shown that the majority of cases between 1 to 5 years of age occur during primary EBV infection
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