WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Elisa Basso Donatti*, Sulene Pirana, Amanda Machado Amaral, Henrique Andrade and Daniela Leme Araújo

ABSTRACT

Introduction: Infectious Mononucleosis is an infectious-contagious disease whose main etiological agent is the Epstein-Barr virus. Transmission occurs through contact with oropharyngeal secretions after an incubation period of 30 to 45 days. The infection is usually asymptomatic, but when it presents symptoms it is characterized by a prodrome of malaise and fatigue, followed by fever and odynophagia. Findings such as hepatosplenomegaly are infrequent, especially in the pediatric age group. Objective: To report a case of infectious mononucleosis with an atypical course. Method: Descriptive study in which a single, qualitative and exploratory case study was carried out based on information extracted from the medical record, as well as data obtained from the results of exams and reports that are attached to it. Case report: An 8-year-old male patient with tonsillitis, persistent fever, cervical adenopathy, odynophagia refractory to antibiotic therapy, prostration, lack of appetite and diffuse abdominal pain, who evolved with significant liver changes. Conclusion: Abdominal pain, absence of rash after antibiotic therapy, and especially hepatosplanomegaly with elevated liver enzymes are atypical findings in the evolution of this disease and constitute diagnostic confounding factors.

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