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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Admitted For Glandular Fever With Swollen Spleen, Still Swells Up Often, Dizzy, Difficulty Breathing. Anything To Worry ?

my 11 yr old son had glandular fever over a yr ago.He was admitted for a wk with having a swollan spleen.After all this time his glands are always sweeling up,often.He has had numerous blood test and his white cell count is always low.He has been complianing of been dizzy,and has just had papitions and difficulty breathing,which wore off after having a warm bath.Is there anything to worry about.
Sat, 15 Jun 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Usually glandular fever is not present in humans ,but when present have following symptoms,
acute localized suppurative infection,
pulmonary infection ,hence patients feel discomfort in breathing.
septicemia ( high fever).

Later this acute stage develop into ( turn ) chronic as in your child.
So symptoms in chronic cases are,
Pus in lymph nodes so there is dilatation,
fever ( low grade),
malaise,
prostration,
dizziness

Evidence of B mallei( causative organism) dissemination may include,lymph node enlargement,
liver enlargement,
SPLEEN enlargement.
Liver & spleen abscess.
Get relief having warm because of malaise ,prostration and chills( mild degree).
Ceftazidime ,imipenem are the drug of choice , so consult a physician and get in complete treatment.
Hope I have an answered your question.
If further any question I will help.
GOOD LUCK.
Dr. HET
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Admitted For Glandular Fever With Swollen Spleen, Still Swells Up Often, Dizzy, Difficulty Breathing. Anything To Worry ?

Hello, Thanks for the query to H.C.M. Forum. Usually glandular fever is not present in humans ,but when present have following symptoms, acute localized suppurative infection, pulmonary infection ,hence patients feel discomfort in breathing. septicemia ( high fever). Later this acute stage develop into ( turn ) chronic as in your child. So symptoms in chronic cases are, Pus in lymph nodes so there is dilatation, fever ( low grade), malaise, prostration, dizziness Evidence of B mallei( causative organism) dissemination may include,lymph node enlargement, liver enlargement, SPLEEN enlargement. Liver & spleen abscess. Get relief having warm because of malaise ,prostration and chills( mild degree). Ceftazidime ,imipenem are the drug of choice , so consult a physician and get in complete treatment. Hope I have an answered your question. If further any question I will help. GOOD LUCK. Dr. HET