Well, the temperature dropped, well-being improved - probably mononucleosis behind. Well, yes, not always so. Sometimes infectious mononucleosis smoothly flows into a chronic, which is hardly worse than the previous. What is it - chronic mononucleosis?
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With a long stay in the organism of the Epstein - Barra virus, which causes mononucleosis, the disease from the infectious form can flow smoothly into chronic. To identify chronic mononucleosis is not easy, because its symptoms are very diverse and at the same time very similar to a number of other similar chronic diseases. To identify this disease, it is necessary to conduct a number of analyzes for histology.In a patient, chronic mononucleosis since the morning there is an unmotivated weakness, as if he absolutely did not resist. His throat hurts, joints. Violated coordination of movements. After a noon, he feels drowsiness, and cannot continue to work without coffee or some stimulants (typical symptoms of the so-called «Chronic fatigue syndrome», With which chronic mononucleosis is often associated). In addition, such a person often caresses, his lymph nodes are constantly increased, the body temperature is slightly improved, nausea appears, vomiting and diarrhea. Also, in chronic mononucleosis, pneumonia and pharyngitis may develop.
In chronic mononucleosis, not all patients have increased liver and spleen. It often appears herpes - oral or genital. When analyzing blood, various violations are detected in the blood pattern, which are very similar to the manifestations of other infectious diseases. In addition, mononucleosis can be combined with other infections.
With a constant presence in the virus body provoking chronic mononucleosis, frequent cases of lesion of HIV infection. The reason lies in the fact that in chronic mononucleosis, immunity is very weakened, so all other infections and viruses are fast «cling» to such an organism.
Extremely rare, but a formidable complication is a spleen break. At the same time, blood gets into the abdominal cavity, and harsh abdominal pain appear in patients! Bleeding when spraying spleen is very strong, so the qualified help of the doctor is vital.
Often, the edema of the tonsils and the mucous membrane is observed, which can cause the clocking of the upper respiratory tract.
Chronic mononucleosis can also give complications on the heart and liver - can develop myocarditis, pneumonia, hepatitis. To detect hepatitis, it is necessary to study the blood test on transaminase (liver enzymes, during hepatitis liver fabric destroys, and enzymes come into the blood, their content rises).
Of the blood pathology often arise - in the blood there may be a decrease in the number of blood uniform elements: red blood cells, leukocytes (mainly granulocytes - neutrophils), platelets. Anemia arises as a result of the destruction of red blood cells antibodies. Therefore, during mononucleosis, periodic monitoring of blood analysis is necessary for the timely detection of anemia, granulocyte and thrombocytopenia.
In 85% of cases, complications from the nervous system appear in chronic mononucleosis: Encephalitis (brain inflammation), brazower lesion (drunk gait), cramps, psychosis. Typically, these violations take place independently and without a trace within 2 months, but the consultation of the neuropathologist is better not to neglect, as more sadness is possible. For example, in the case of Guillana Barre syndrome (also a complication hitting the nervous system) may occur full paralysis and death.
Patients sometimes disturb the perception of space and sizes of objects. Moreover, the damage to the nervous system is observed mainly in young people aged 30-35 years.
Also, after mononucleosis, changes may remain in the blood pattern, which over time pass. In any case, it is necessary to be observed by a hematologist.
