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Q: Glandular fever symptoms
asked by: DoctorQuestion on February 9th, 2008
My doctor only speaks French and so an accurate understanding of the diagnosis is often difficult. I am feeling very worried and helpless as I dont know whats going on.I would like to know why the enzyme results so high and what can this indicate? Are these symptoms and blood test results typical of Glandular fever??
Thankyou


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Dr. Nikola Gjuzelov , MD
replied on February 19th, 2008
Ear, Nose and Throat Disorders Answer A3672
YOU WROTE:


List of other diseases, conditions, or injuries and their treatment: This is concerning my daughter (info given above for her) She has had large swollen glands on one side of her neck for 3 weeks and swollen sore tonsils. Saw Doctor twice given 2 diferent courses of antibiotics and anti inflamatories which had no effect. Saw specialist yesterday told to stop taking the anti inflam and was prescribed a course of sterods. To continue with the antibiotics. Rash appeared all over her face and body yesterday (before starting steroids) similar to measles.

Current medical status: consultation with ent speciaslist blood test results as follows: hemoglobin 11.3 g/dl hematocrite 35.4% lymphocytes 7294/mm3 monocytes 1042/mm3 S.G.O.T/A.S.A.T 110 UI/l S.G.P.T/A.L.A.T 251 UI/l gamma-glutamyl transferase 52 UI/l awaiting results for SERO EBV. Specialist said possibly glandular fever??

Current medical treatment: Steroids (solupred prednisolone) 3 20mg tablets every morning for 5 days then reduce by 1/2 a tablet per day. Penicilin cefuroxime biogaran 250mg 1 morning 1 night


Elevated enzymes SGOT(AST) and SGPT(ALT) indicate that there a liver lesion is present. Liver lesions are possible in cases of Glandular fever, also known as infective mononucleosis. Swollen lymph nodes and sore throat are typical for infective mononucleosis. Increased lymphocytes and monocytes are also typical for mono. Nonetheless, infective mononucleosis must be diagnostically proved via serological tests.




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