Patient's question:
Pharyngitis 3 degrees, poor breathing at night, lymph inflammation, intermittent high fever for 2 days, poor sleep. Past treatment and outcomes: Oral Motrin, intravenous antibiotics, yesterday's treatment focus on mutual cooperation in treatment...Doctor's answer:
It's infectious mononucleosis, right? Infectious mononucleosis (Infectiousmononucleosis) is an acute self-limiting infectious disease caused by the Epstein-Barr virus (EBV). Its clinical diagnostic features include fever, pharyngitis, lymphadenopathy, a significant and persistent increase in peripheral blood lymphocytes with the appearance of atypical lymphocytes, a positive heterophile agglutination test, and the reappearance of anti-EBV antibodies after infection. There is no specific treatment for this disease, and symptomatic treatment is the basis. Most patients can recover on their own. When there is a secondary bacterial infection of the second nerve, such as in the throat or tonsils, β-hemolytic streptococcal infection can be treated with penicillin G, erythromycin, and other antibiotics. Some believe that metronidazole (Flagyl) or clindamycin may also have a certain effect. Corticosteroids can be used for severe cases, such as severe edema in the throat and larynx, the occurrence of neurological complications, thrombocytopenic purpura, myocarditis, pericarditis, etc., to stabilize symptoms and completely eliminate inflammation. However, they are generally not suitable for mild cases.1. Western Medicine Treatment
(1) Patients with high fever should be given fluid supplementation as appropriate.
(2) Shock patients should be given fluids to expand blood volume and vasopressor drugs.
(3) Patients with skin breakdown should be given topical medications.
(4) Patients with cerebral edema should be given mannitol to reduce cerebral edema.
2. Traditional Chinese Medicine Treatment
(1) Fever Stage: Chills, fever, headache, body pain, dry vomiting, nausea, vomiting, red tongue with yellow greasy coating, floating or slippery rapid pulse. Treatment Principle: Dispel external pathogens, clear heat, transform dampness, and clear heat.
(2) Rash Stage and Skin Breakdown: High fever, thirst, rash, skin ecchymosis, hematuria, vomiting, abdominal pain, etc., red tongue with yellow greasy coating, slippery rapid pulse. Treatment Principle: Clear heat, drain fire, cool blood, and expel toxins.
(3) Shock Stage: Pale face, cold limbs, restlessness, rising temperature, declining blood pressure, thready and weak pulse. Treatment Principle: Strengthen qi and stabilize the body.
(4) Recovery Stage: Fatigue, weakness, poor appetite, shortness of breath, pale tongue, thready pulse. Treatment Principle: Strengthen the spleen, harmonize the stomach, and nourish yin.
Survival Care: The prognosis for this disease is generally good. The course of the disease is usually 1–2 weeks, but relapses may occur. Some patients may have low fever, lymphadenopathy, fatigue, and weakness that persist for weeks or months after recovery. In rare cases, the course of the disease may last for years. The mortality rate for this disease is 1%–2%, with causes including splenic rupture, meningitis, myocarditis, etc. Patients with congenital immune deficiencies who contract this disease may rapidly deteriorate and approach death. This disease is completely different from malignant inflammation of the mononuclear-macrophage system. Although EBV can be present in lymphoma patients, this disease will never develop into lymphoma.