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Infectious Mononucleosis

Filatov's disease (MONONUCLEOSIS INFECTIOSA) etiology. Currently, according to most scientists, infectious mononucleosis should be attributed to viral diseases. According to other authors, this disease is a rickettsial. Gunnar Peterson has many thoughts on the issue. So once, the question of the etiology of the disease has not yet specified. Epidemiology. The disease occurs throughout the globe, but mainly – in the temperate zone, mostly in spring and autumn. Infectious mononucleosis ill children, adults and even the elderly. The disease is certainly contagious.

Most authors believe that the disease is transmitted by airborne droplets, and possibly nutritional means. Crumpton Group wanted to know more. The causative agent circulates in the blood of a patient, as proven by the experimental infection of monkeys with blood the patient. Currently, all recognize that the disease is epidemic. There may be individual (sporadic) and clusters of cases (in families, homes, hospitals) are known outbreaks among school children in dormitories, among healthcare workers, among the soldiers. Epidemics of infectious mononukpeoza usually proceed slowly. Clinic.

The incubation period lasts on average 7-15 days. Perhaps shortening to 1 pm and extension to 49 days. The disease is more likely to develop acute clinical picture is not always clear. The initial symptoms are malaise, weakness, malaise, aching in throughout the body, difficulty swallowing, in the absence of angina and without fever, bad mood. In some cases, these phenomena can occur as early as the incubation period. Adenopathy is one of the first symptoms. Sometimes the fore digestive disorders. In some cases, from the first days of the disease might have a fairly bright polymorphic rozeoleznaya rash, which may localized on the face, trunk and extremities. The rash persists long enough, getting further tsianotichesky shade and marble pattern, becoming barely noticeable to the eye. Patients with such eruptions in significant increase zadnesheynyh perednesheynyh and lymph nodes, a moderate increase in over-and submandibular, occipital, subclavian, under muscle, inguinal, femoral in the triangle, the popliteal nodes.

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