Suggest Treatment For Fatigue, Joint Pain, Sore Throat And Fever

Posted on Wed, 7 Jun 2017

Question: A 22 year old male presents with fatigue, aching joints, sore throat, fever, "flu like" symptoms, pt has swollen lymph nodes and elevated temp for the past week or so, pt has WBC of 2.0, EBV VCA IgM 2.7 (should make him positive for EBV?), EBV EA IgG is neg, EBV NA IgG is neg, Hematocrit 39.6, Carbon Dioxide 29, Mono spot that day was neg, I need to know if this is EBV or some type of Mono? I am a FNP student

Answered by Dr. Rudina Balliu (2 hours later)

Brief Answer:
suspected Mononucleosis (EBV)

Detailed Answer:
Hello! Thank you for asking HealthCareMagic.
I read your concern carefully and I can understand.

According to the symptoms and lab test, this may be Mononucleosis caused by EBV (Epstein-Barr Virus). The Positive EBV VCA-IgM antibodies indicate an acute infection by EBV and confirm the diagnosis.

The patient should be checked for the liver and spleen for possible enlargement.
Rest, drinking plenty of fluids, using antipyretic/pain medication(eg. Tylenol) are necessary.

Hope this is helpful.
Do let me know if you have any further clarifications, I will be happy to help.

Take Care!
Dr. Balliu.

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Above answer was peer-reviewed by : Dr. Arnab Banerjee