Pfeiffer’s Fever

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Medical History

Medical history (history of illness) is an important component in the diagnosis of infectious mononucleosis (Pfeiffer’s glandular fever). Family history What is the current health status of your relatives? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Have you been able to identify a rash in the mucosal area? Do you have a … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Medical History

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Acute infectious lymphocytosis – disease caused by a virus that primarily affects young children. Infectious diseases of other genesis such as by cytomegalovirus, HIV, toxoplasmosis. Hepatitis (inflammation of the liver), unspecified. HIV Rubella Liver, gallbladder and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87). Hepatitis (inflammation of the liver), unspecified. Neoplasms … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Or something else? Differential Diagnosis

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Complications

The following are the most important diseases or complications that may be contributed to by infectious mononucleosis (Pfeiffer’s glandular fever): Respiratory system (J00-J99) Pneumonia (pneumonia) Streptococcal angina – sore throat caused by bacteria. Blood, blood-forming organs – immune system (D50-D90). Hemolytic anemia – anemia caused by the destruction of erythrocytes (red blood cells). Splenic rupture … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Complications

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye), and oropharynx (oral cavity and pharynx) [Enanthem (rash around mucous membranes); morbilliform exanthem (rash) occurring mainly … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Examination

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. EBV rapid test for the detection of antibodies. Serological tests such as the EBV IgM/IgG ELISA and EA (early antigen). Small blood count [total leukocyte count is usually only mildly to moderately elevated] Differential blood count [relative lymphocytosis (total number of lymphocytes in the blood increased) or … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Test and Diagnosis

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnosticsand obligatory medical device diagnostics – for differential diagnostic clarification. Abdominal ultrasonography (ultrasound examination of the abdominal organs) – for suspected hepatitis (liver inflammation). Electrocardiogram (ECG; recording of the electrical activity of the heart muscle) – if heart involvement is … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Diagnostic Tests

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Symptoms, Complaints, Signs

In many cases, the infection is asymptomatic, but the following symptoms and complaints may indicate infectious mononucleosis (glandular fever): Enanthem – rash in the area of the mucous membranes. Morbilliform exanthema (rash) that occurs mainly on the arms and trunk of the body; usually papular. Angina (sore throat) Fever Foetor ex ore (bad breath) Hepatitis … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Symptoms, Complaints, Signs

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Causes

Pathogenesis (disease development) After Epstein-Barr virus (human herpes virus 4; HHV 4) is transmitted via droplet or smear infection, it first infects cells in the mouth and throat. The body of an immunocompetent person can destroy most of the virus, but a few of the infected cells survive and can lead to reinfection (re-infection) and … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Causes

Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Therapy

General measures Commercially available mild throat lozenges or lozenges (preferably sugar-free) can help provide relief. Observance of general hygiene measures! In the occurrence of fever: Bed rest and physical rest (even if fever is only mild; if limb pain and lassitude occur without fever, bed rest and physical rest is also required, because myocarditis/heart muscle … Pfeiffer’s Glandular Fever (Infectious Mononucleosis): Therapy