Interviewer: Sometimes you go to a pediatrician and a kid has a sweat throat and it finds that land a huge in the neck and little lumps around the body. I do not think it is a structural, it is probably this thing called mononucleosis. What is mononucleosis?
Dr. King: Mononucleosis is typical an infection cause by EBV which is Epstein-Barr virus and that accounts are mostly cases of mononucleosis.
Interviewer: What age is more prone to get mononucleosis to this country?
Dr. King: Children that are in school and young adults are the most likely in United States.
Interviewer: Usually, it is diagnose with simple blood test and most common infection it does what this called as Epstein-Barr virus, is that sir?
Dr. King: Correct. EBV is the most common virus that causes mononucleosis. There are some other viruses and even parasites that may take your nets and then looks like mononucleosis cause by EBV.
Interviewer: Now if a kid has a full blown case, how long do you expect the average kid to be sick with it? A day, a week, a month?
Dr. King: Usually it last for several weeks in adolescents and young adults hints to last longer. And often you see a periods during you wish the person feels tired for doing a thing in a time for minimum basic.
Interviewer: That they could be over it and still be tired for many months after which?
Dr. King: Yes, that is exactly what they can see and all of children and young adults.
Interviewer: If the kid comes out with simple blood test that usually pick it up and the doctor falls with it. Sometimes the liver cells could build a little bit with the two, is that sir?
Dr. King: If the virus causes a systemic infection and infects many types of cells around the body, so one of the cells that effects is liver cells and because of that there is inflammation in the cells and you detect that by a simple blood test. But it is not the kind of infection in the liver that we typically be concern about as we do with hepatitis B or hepatitis C.
Interviewer: So like a little reaction, the body is doing and struggled and it going to get well.
Dr. King: Correct.
Interviewer: Is there any reason you should use antibiotics with mononucleosis?
Dr. King: No, as many other types of viral infections that cause adverse retrograde infection and hold antibiotics are non-indicated there.
Interviewer: Sometime I wonder if you can get a rash you could take amoxicillin or ampicillin. So you try to be very careful not using those medications, is that sir?
Dr. King: That is absolutely correct. Mononucleosis is an infection cause by virus like other facts of infections that cause sort throat and cold. And antibiotics are not indicates with this kinds of infections.
Interviewer: There is sometimes you can have mononucleosis and you can have scab for the same time and then you might have to treat the kid that only because of the scab test, am I correct?
Dr. King: That is correct. Typically that is not the case, but that is just to be the exception rather than the roles.
Interviewer: So the basic role is you try and not to use antibiotics. And probably because it can infect the little bit, you try out to get too much medicine anywhere when we have the liver a little inflame, is that right?
Dr. King: Seriously speaking yes.
Interviewer: And if the kid had few viruses, do you give anything to reduce the fever or avoiding medicine for fever?
Dr. King: You have to treat the symptoms, so you have to make sure that the child is comfortable and one of the ways to achieve that if the fever is cause of discomfort. You can also use acetaminophen which you can find brands like Tylenol and ibuprofen which you can find in brands like Advil.
Other important things also is to use something treat the throat so the child is able to drink more comfortable because also the dehydration status of the child is important.
Interviewer: If for some reason that throat got so swollen, the kid could not even swallow or even a trouble breathing, how can that be handle because sometime you gets that good?
Dr. King: That tends to be the exception in that case a short course of prednisone which is steroid. It was indicated but it is not typically something that you use in all kids.
Interviewer: That is an exception to the role and already use in a very limited cases, am I correct?
Dr. King: Absolutely correct.
Interviewer: Because it can has it, it does it mean you use it only if you seen obstruction to the upper airway would be the only really indication.
Dr. King: If the swelling of the tonsil and the area surrounding it, interferes with the swallowing or the breathing then that is an indication for using the prednisone.
Interviewer: And if the kid had this lens and have lands and have mono, a doctor should always follow that to make sure there is nothing else behind the gland through, is that correct?
Dr. King: That is absolutely correct.
Interviewer: Even though it has kind of react they have anything else, but it is a good medicine that was fall in the case.
Dr. King: Followup is always good and it is always important.
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