The Cribsiders S6 Ep119: Epstein Barr Virus - A MONO-lithic Overview
Aug 28, 2024
In this insightful discussion, Dr. IJ Anosike, an assistant professor of pediatrics and director of Pediatric Antibiotic Stewardship at Montefiore, unpacks the complexities of Epstein-Barr virus (EBV). She sheds light on tricky symptoms and essential diagnostic tests, making it clear how to differentiate EBV from other infections. Dr. Anosike highlights the importance of mindful lab monitoring and addresses health equity in EBV treatment, particularly for underserved communities. Expect to learn about the nuances of management and the significance of thoughtful healthcare practices.
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EBV and Mono
- Infectious mononucleosis (mono) is a disease caused by the Epstein-Barr virus (EBV).
- EBV is a herpes virus (type 4) spread through close contact, even from asymptomatic carriers.
Mono Presentation
- Classic mono presents with fever, exudative pharyngitis, and posterior cervical lymphadenopathy (the triad).
- Atypical mono can involve abdominal pain, hepatitis, splenic rupture, CNS issues, or Alice in Wonderland syndrome.
Mono vs. Strep Throat
- Differentiate mono from strep throat by considering URI symptoms and hepatosplenomegaly.
- Absence of URI symptoms may point to strep, while hepatosplenomegaly suggests mono.