Patient's question:
A urine test revealed liver damage caused by the Epstein-Barr virus, leading to hospitalization and medication. However, the child cannot receive injections because they cry endlessly during the process, and intense crying can cause them to hold their breath. They have been prescribed liver-protecting tablets, but only one traditional Chinese medicine for antiviral purposes, which is not a specific treatment. Western medicine was not prescribed due to concerns about allergies. The doctor suggested discharging the child and returning for a thorough check-up in a week. Now, what should I do? Is there any specific antiviral medication for EB virus that is not allergenic, or any other methods? Alanine aminotransferase (ALT) is 97, Alanine transaminase (AST) is 419, Butyrylcholinesterase is 346, and Aspartate aminotransferase (AST) is 85. Please help and guide me. The most important thing is finding an antiviral medication that the baby can safely take.Doctor's answer:
The treatment of EB virus-induced liver damage primarily involves two aspects:First, antiviral therapy. Antiviral therapy can utilize acyclovir, with similar effects whether administered orally or intravenously. If intravenous infusion is not preferred, oral acyclovir can be used for treatment. Acyclovir allergies are rare. If you have never used acyclovir and have no history of allergies, there is no reason to believe you would be allergic to it.
Second, liver-protective therapy. Children can take cyclodextrin, reduced glutathione, or glycyrrhizin—these options are all viable.