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Clinical features of infectious mononucleosis in children, depending on the etiological factor

https://doi.org/10.34215/1609-1175-2019-4-70-73

Abstract

Objective: The objective is to analyze clinical and laboratory features of infectious mononucleosis (IM) depending on disease etiology.

Methods: 102 children with IM aged from 1 to 15 y.o. were examined. Polymerase chain reaction and immunoenzyme method were used to verify disease etiology.

Results: In patients with Epstein–Barr virus and mixed infection, the most pronounced manifestations of lymphoproliferative syndrome and tonsillitis, high content of atypical mononuclear cells in peripheral blood are detected. Aspects of IM of cytomegaloviral etiology were notable for the prevalence of toxic syndrome along with other less pronounced clinical and laboratory manifestations of the disease.

Conclusions: The detected features of the aspects of IM depending on etiological factor allow to prognosticate a variant and a character of the disease course and to early improve the therapy.

About the Authors

G. P. Martynova
Krasnoyarsk State Medical University named after professor V.F. Voino-Yasenetsky
Russian Federation

Galina P. Martynova, MD, PhD, professor, head of the Department of Children’s Infectious Diseases

1 Partizana Zheleznyaka St., Krasnoyarsk, 660022



L. A. Ikkes
Krasnoyarsk State Medical University named after professor V.F. Voino-Yasenetsky
Russian Federation
Krasnoyarsk


Ya. A. Bogvilenе
Krasnoyarsk State Medical University named after professor V.F. Voino-Yasenetsky
Russian Federation
Krasnoyarsk


References

1. Bokovoy AG. Herpes virus infections in children and parents. A textbook. Moscow: Tsentr Strategicheskoy Konyunktury; 2014. 256 p. (In Russ.).

2. Isakov VA, Arkhipova EI, Isakov DV. Human herpesvirus infections. A guide for doctors. Saint Petersburg: SpetsLit; 2013. 670 p. (In Russ.).

3. Shamsheva OV, Kharlamova FS, Yegorova NYu, Molochkova OV, Novosad EV, Simonova EV, et al. The results of a long-term study of herpes virus infection at the Department of Infectious Diseases in Children N.I. Pirogov. Detskiye infektsii. 2017;16(2):5–12. (In Russ.).

4. Simonova AV, Mazankova LN. Algorithms for the diagnosis and treatment of herpes virus infections. A manual for students, pediatricians, infectious disease specialists, immunologists. Moscow: APF-treyding; 2016. 43 p. (In Russ.).

5. Kikuchi K, Inoue H, Miyazaki Y, Ide F, Kojima M, Kusama K. Epstein–Barr virus (EBV)-associated epithelial and non-epithelial lesions of the oral cavity. The Japanese Dental Science Review. 2017;53(3):95–109.

6. Vashura LV, Savenkova MS. Herpes type 6 (epidemiology, diagnosis, clinic). Lechashchiy vrach. 2014;60(11):11–7. (In Russ.).

7. Goncharova EV, Senyuta NB, Smirnova KV, Shcherbak LN, Gurtsevich VE. Epstein–Barr virus (EBV) in Russia: Infection of the population and analysis of variants of the LMP1 gene in patients with EBV-associated pathologies and in healthy individuals. Voprosy virusologii. 2015;60(2):11–7. (In Russ.).

8. Children's infections. Reference practitioner / L.N. Mazankova (ed.). Moscow: MEDpress-inform; 2016. 304 p. (In Russ.).

9. Andreeva AA, Ikkes LA. Clinical and hematological characteristics of infectious mononucleosis caused by Epstein–Barr virus in children of the first year of life. Sibirskoye meditsinskoye obozreniye. 2016;100(1):91–9. (In Russ.).

10. Timchenko VN. Diseases of civilization (measles, VEB-mononucleosis) in the practice of pediatrician. A guide for doctors. Saint Petersburg: SpetsLit; 2017. 527 p. (In Russ.).

11. Goswami R, Shair KH, Gershburg E. Molecular diversity of IgG responses to Epstein–Barr virus proteins in asymptomatic Epstein– Barr virus carriers. The Journal of General Virology. 2017; 998(9):2343–50.


Review

For citations:


Martynova G.P., Ikkes L.A., Bogvilenе Ya.A. Clinical features of infectious mononucleosis in children, depending on the etiological factor. Pacific Medical Journal. 2019;(4):70-73. (In Russ.) https://doi.org/10.34215/1609-1175-2019-4-70-73

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ISSN 1609-1175 (Print)