Patient's question:
A urinalysis revealed liver damage from the Epstein-Barr virus, leading to hospitalization and medication. However, the child cannot receive injections because each attempt results in endless crying, and intense crying can cause them to hold their breath. They were prescribed liver-protecting tablets, but only one traditional Chinese medicine for antiviral purposes was given, as it is not a specific medicine. Western medicine was not prescribed due to concerns about allergies. The doctor suggested not staying hospitalized and to return for a thorough check-up in a week. Now, what should I do? Is there any specific antiviral medicine for EBV that is not allergenic, or any other methods? Alanine aminotransferase (ALT) is 97, Aspartate aminotransferase (AST) is 419, D-β-hydroxybutyrate dehydrogenase is 346, and Alanine aminotransferase (AST) is 85. Please help and guide me. The most important thing is finding an antiviral medicine that the baby can safely take.Doctor's answer:
The treatment of EB virus-induced liver damage primarily involves two aspects:Second, antiviral therapy. Antiviral therapy can utilize acyclovir. The effectiveness of oral and intravenous administration of acyclovir is similar. If you are unwilling to undergo intravenous infusion, oral acyclovir can be used for treatment. Acyclovir allergies are rare. If you have never used acyclovir and have had an allergic reaction, there is no reason to believe you would be allergic to acyclovir.
Third, liver-protective therapy. Children can take cyclodextrin, reduced glutathione, or glycyrrhizin—these options are all viable.