Steroids for symptom control in infectious mononucleosis

Rezk, Emtithal; Nofal, Yazan; Hamzeh, Ammar; Aboujaib, Muhammed Fayez; AlKheder, Mohammad A; Hammad, Muhammad F Al

doi:10.1002/14651858.cd004402.pub3

Cited by 37 publications

(36 citation statements)

References 37 publications

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“…A 2015 Cochrane review found insufficient evidence that steroids improve symptoms in infectious mononucleosis, while it was inconclusive as to whether they increase the risk of complications such as peritonsillar cellulitis and PTA. 16 In the absence of clear benefit and given the possibility of adverse effects, they are therefore not recommended for routine use. 17 This is separate from the issue of steroid use after PTA development, such as intravenous dexamethasone administration in hospitalised patients.…”

Section: Discussionmentioning

confidence: 99%

Infectious mononucleosis complicated by peritonsillar abscess and postural orthostatic tachycardia syndrome: A case report

Yaxley

2020

SAGE Open Medical Case Reports

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An unusual case of infectious mononucleosis complicated by both peritonsillar abscess and postural orthostatic tachycardia syndrome is reported. The patient was diagnosed with Epstein–Barr virus infection early in the disease course by her primary care doctor. She subsequently developed a peritonsillar abscess requiring hospitalisation. Recovery was complicated by the development of postural orthostatic tachycardia syndrome. However, resolution was achieved over the course of approximately 1 year, via conservative measures including graded exercise therapy, without resorting to pharmacotherapy.

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Section: Discussionmentioning

confidence: 99%

Infectious mononucleosis complicated by peritonsillar abscess and postural orthostatic tachycardia syndrome: A case report

Yaxley

2020

SAGE Open Medical Case Reports

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“…Corticosteroids may have analgesic/anti‐inflammatory effects 6 . They have demonstrated efficacy in other inflammatory conditions such as viral croup and glandular fever 7,8 . The publication of a recent large, rigorous trial of corticosteroids for sore throat 9 prompted the updated meta‐analysis discussed here 10 …”

Section: Narrativementioning

confidence: 99%

Corticosteroids for Sore Throat

Long

Gottlieb

2020

Academic Emergency Medicine

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“…Hay que tener especial cuidado con el uso de ácido acetil salicílico ya que al tratarse de una enfermedad vírica es posible el riesgo de síndrome de Reye. (Rezk et al 2015)…”

Section: Tratamientounclassified

Complicaciones de la Mononucleosis infecciosa en la edad adulta. A propósito de un caso clínico.

Castro

Sacta

Cuzco

et al. 2020

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La mononucleosis infecciosa es una enfermedad ocasionada principalmente por el virus Epstein-Barr, está ampliamente extendida y generalmente se produce en la infancia y la adolescencia, siendo poco común reportar casos en la edad adulta. Debido a sus características muy generales como alza térmica, faringitis y adenopatías, siendo en la mayoría de casos auto limitada y junto a una baja incidencia de complicaciones en su evolución, hacen que sea habitual no diagnosticarla y confundirla con cuadros similares como por ejemplo el resfriado común. Sin embargo, existe un pequeño porcentaje de estos pacientes que pueden tener complicaciones mucho mayores e incluso llegar a la muerte si no son adecuadamente diagnosticados y manejados, sobre todo al llegar a la edad adulta. A continuación, se presenta un caso clínico de mononucleosis atípica, ya que características como edad, manifestaciones iniciales, así como las complicaciones no fueron las habituales, motivo por el que se propone no olvidar la existencia de esta patología en los diagnósticos diferenciales y la importancia de una adecuada valoración y manejo

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Steroids for symptom control in infectious mononucleosis

Abstract: There is insufficient evidence to the efficacy of steroids for symptom control in infectious mononucleosis. There is a lack of research on the side effects and long-term complications.

Cited by 37 publications

References 37 publications

Infectious mononucleosis complicated by peritonsillar abscess and postural orthostatic tachycardia syndrome: A case report

Infectious mononucleosis complicated by peritonsillar abscess and postural orthostatic tachycardia syndrome: A case report

Corticosteroids for Sore Throat

Complicaciones de la Mononucleosis infecciosa en la edad adulta. A propósito de un caso clínico.

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