Otolaryngologic clinical patterns in pediatric infectious mononucleosis

American Journal of Otolaryngology
T M GanzelT A Padhya

Abstract

Classic infectious mononucleosis (IM) is uncommon in children; therefore, the incidence of severe pharyngotonsillitis complicating the infection is not well established. This study was undertaken to better define the management of complications with special emphasis on the use of parenteral steroids and the role and timing of surgical management. A retrospective review of all cases of IM encountered between January 1989 through December 1993 was undertaken. There were 109 patients admitted with IM. Sixty patients (55%) were admitted for severe pharyngotonsillitis. Twenty-nine patients in this subgroup were felt to have symptoms of severe upper airway obstruction and were treated with parenteral steroids. Surgical intervention was required in three patients. The study shows a higher incidence of admissions for severe pharyngotonsillitis complicating IM than reported in the adult literature. It suggests that routine use of parenteral steroids is indicated in cases of severe upper airway obstruction and may decrease the need for surgical intervention.

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Citations

Nov 14, 1998·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·P A Normandin, J S Brown
Jun 3, 2000·Current Opinion in Pediatrics·H B Jenson
May 30, 2006·The Pediatric Infectious Disease Journal·Mary-Lynn NilandDeborah G Goodman
Nov 22, 2005·Acta Oto-laryngologica·Miguel CaballeroManuel Bernal-Sprekelsen
Aug 21, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Joshua Nagler, Rebecca L Ruebner
Dec 25, 2008·Journal of Medical Virology·Massimo De PaschalePierangelo Clerici
Nov 13, 2015·The Cochrane Database of Systematic Reviews·Emtithal RezkMuhammad F Al Hammad
Dec 19, 2019·Pediatric Emergency Care·Ronine ZamorElena Duma

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