Patient's question:
My son is now two and a half years old. On November 26th, he had a cold, fever, and red, swollen throat, so he received an intravenous drip of ceftriaxone at the outpatient clinic. Due to persistent fever, a blood test on the 28th showed 5% abnormal lymphocytes and was diagnosed with EB virus. He was hospitalized for treatment. Starting from the 29th, he received two additional immune globulin injections daily.Is this treatment approach feasible? Could this virus cause other symptoms? I urgently await your reply!
Thank you!!!
Doctor's answer:
First, I suggest you don't worry too much. EB virus is widely infected in the population. In China, the positive rate of EB virus VCA-lgG antibody in children aged 3-5 is over 90%. Most young children infected with EB virus show no symptoms, or may cause mild pharyngitis and upper respiratory tract infections. During adolescence, primary infection can lead to infectious mononucleosis in about 50% of cases. The virus is mainly transmitted through saliva and can also be transmitted through blood transfusions. EB virus replicates in the epithelial cells of the oral and pharyngeal cavity, then infects B lymphocytes, which enter the bloodstream in large numbers, causing systemic infection. It can also remain latent in human lymphoid tissues for a long time. When the immune function of the body is low, the latent EB virus becomes active, leading to recurrent infections. Currently, your child can be actively treated with antiviral therapy, commonly using ganciclovir, while also paying attention to symptomatic treatment. If the temperature exceeds 38.5°C, oral antipyretics should be administered.