 
                            What Causes Glandular Fever?
 
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Fri, 7 Mar 2014
                                           
                                        
                                        
                                        
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                                             Fri, 7 Mar 2014
                                                
                                            
                                                Answered on
                                                
                                                Fri, 7 Mar 2014
                                                
                                            
                                                Answered on
                                             
                                             Wed, 26 Mar 2014
                                                
                                                
                                                Last reviewed on
                                                
                                                Wed, 26 Mar 2014
                                                
                                                
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                                            Question : 4y.o.child diagnosed with glandular fever. No blood test done. Started with steady vomiting high temperature. Diagnosed as gastro although no diaherra. Headache. Later diagnosed as g.f. .one week later very sore throat swollen tonsils, greeny brown nasal discharge. Temperature still fluctuating between normal and 39.4c still no blood test. Fine rash over body. Not eating much XXXXXXX w.
                            
                                    Brief Answer:
Blood tests needed
Detailed Answer:
Hi
Thanks for writingto health care magic.
Glandular fever is caused by ebstein Barr virus. Your description fits into it. But it needs confirmation by blood tests. Blood count and smear for atypical lymphocytes and serologt for EBV should help in clinching the diagnosis. 
Usual treatment is supportive with ibuprofen and  paracetamol. Antibiotics may be needed if there is a superadded bacterial infection ( get throat swab for strep ).
Wishing your kid speedy recovery.
Regards
Dr Arun
                                    
                                    
                                    
                                    
                                    
                             Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Shanthi.E
                                  
                              
                                          
 
                                    
                                    
                                 
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