EBV: The Daily PANCE Blueprint

Home EBV: The Daily PANCE Blueprint

EBV: The Daily PANCE Blueprint

A 22-year-old male presents to your clinic with a sore throat, malaise, and fever for over a week. His vitals show T 100.7F, HR 72 bpm, RR 20/min, BP 120/82 mmHg. He denies a rash. On physical exam, the oropharynx is erythematous with enlarged tonsils. The neck is supple with bilateral anterior cervical adenopathy. Labs show negative strep test and positive heterophil antibody. What is the best treatment for this patient?

A. Acyclovir
B. Ampicillin
C. Doxycycline
D. Acetaminophen
E. Systemic steroids

Answer and topic summary

The answer is D. Acetaminophen

Infectious mononucleosis is an acute illness caused by the Epstein-Barr virus. The virus can spread via bodily secretions (especially saliva, hence also referred to as “kissing disease.”) Clinical features include fever, fatigue, acute pharyngitis, lymphadenopathy, splenomegaly, etc. A mono spot (heterophile antibody test) can be obtained if it is suspected. The disease is typically self-limiting. Patients should avoid strenuous physical activity for at least 21 days due to the risk of splenic rupture.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Infectious Disease ⇒ Viral Infectious Disease ⇒ Epstein-Barr virus infections

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