A college student Michael presents to his primary care physician with a sore thr

Question

A college student Michael presents to his primary care physician with a sore throat, high fever and skin rash. On examination, his pharynx has a gray-white exudate and his distended abdomen results from an enlarged liver and spleen. Blood work demonstrates lymphocytes with abnormally large nuclei perforated with holes, a classic symptom of this condition.

6. What disease is Michael suffering from? (Explain what clues in the case history were important to your diagnosis.)

7. Name the etiologic agent and describe its transmission.

8. Describe the usual treatment and his prognosis.

Explanation / Answer

ans-6- epstein barr virus also known as EBV or human herpes virus 4 [HHV-4]).

symptoms of epstein barr virus symptoms are sore throat. gray-white pharungeal exudate, skin rash, enlarged liver and spleen.

7 ans-The etiological agent of mononucleosis is the Epstein-Barr virus, EBV and transmitted by intimate contact,contact with saliva.

8-Reduced immunosupression or alternative immunosupressive agent,

a steroid treatment in severe cases

Rituximab (Anti CD-20)

Cytotoxic chemotherapy

HSCT

Adoptive immunotherapy

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