Medical expert of the article
New publications
Infectious mononucleosis: treatment
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Medication for infectious mononucleosis
In vitro, acyclovir and interferon alfa inhibit the replication of the Epstein-Bar virus, but their clinical efficacy has not been proven. With pronounced necrotic changes on tonsils, antibacterial treatment of infectious mononucleosis (fluoroquinolones, macrolides) is prescribed. Ampicillin is contraindicated because 80% of patients develop rash.
Glucocorticoid drugs can significantly reduce the duration of fever and inflammatory changes in the oropharynx, but they are recommended to be prescribed only in severe forms, with airway obstruction, hemolytic anemia, and neurological complications.
When the spleen ruptures, immediate surgical intervention is necessary. With a significant increase in the spleen, the motor regime is restricted, only 6-8 weeks after discharge from the hospital. If hepatitis is detected, diet no. 5 is observed within 6 months after the transferred EBV infectious mononucleosis. Limitation of physical activity for 3 months.
Diet and diet
Half-bed mode. Table № 5. Treatment of infectious mononucleosis is most often performed in outpatient settings. Recommend an abundant drink, rinsing the oropharynx with solutions of antiseptics, NSAIDs.
Approximate terms of incapacity for work
15-30 days.
[7],
Clinical examination
Not regulated. It is recommended to observe the therapist (pediatrician) with persistent polyadenopathy.
Memo for the patient
Compliance with the semi-post regimen during the entire febrile period. Restriction of physical activity. Abundant drink, diet number 5.
Timely treatment of infectious mononucleosis. Examination of peripheral blood. A dispensary observation at the doctor - infektsionista, the therapist.