DISEASES OF THE BLOOD SYSTEM : ANGINA MACROPHAGE (ILLNESS FILATOV - INFECTIOUS MONONUCLEOSIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
The etiology is unknown. Seems to play a role all the same infection (viral); sometimes in the study of the flora of the mucous membrane of the throat (sore throat) detected spirally Plaut-Vincent. I
The pathogenesis is unclear. The toxin selectively annoying reticulo-endothelial and lymphatic system.
Symptoms. The beginning of a sharp increase in temperature to 39-40º, sore throat, often accompanied by ulcerations of the mucosa of the throat and tonsils; swollen submandibular and cervical cancer. The most characteristic change from white blood monocytosis 50 70 10 000 - 25 000 cells in 1 mm3.
A period of not more than 2 - 3 weeks. The disease is usually cured yourself. .
Recognition was not a difficulty, provided a thorough analysis of the blood. By the increase heterophile agglutinin serum of the patient (the agglutination titer of the serum).
The prediction is favorable.
Treatment solely symptomatic: warm compresses on the neck, aspirin, rinsing solution rivanol 1 : 1 000, the oral hygiene. Only in complicated disease, penicillin 4 million units for the course.