Epstein Barr Virus--CHRONIC FATIGUE--MONO? 

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Epstein Barr Virus--CHRONIC FATIGUE--MONO?
Mononucleosis-increase in monocytes. Most common cause is Epstein Barr Virus or HHV-4(Herpes Virus 4)
Other causes of mononucleosis: CMV, Adenovirus, Toxoplasma, Rubella, Hep A and HIV
EBV is seropositive in 95% of adults.
Most commonly contacted in the teens and twenties-kissing disease. Oropharyngeal epithelium.
Asymptomatic patient can shed for up to 6 months.
Incubation period can be 3-6 weeks. Can be asymptomatic.
Symptoms: fever, sore throat, lymphadenopathy.
Other symptoms: malaise, HA, decrease appetite and muscle/joint pain-most will experience 2 weeks of symptoms.
½ of patients can have splenomegaly. Some will have hepatomegaly.
Testing: Monospot(IgM)-sheep RBC. Heterophile antibody test.
Limitations: false negative during incubation periods.
Shows 80% in teens and adults
40% in children
20% in children under 4 years old.
PCR-expensive
Qualitative-presence of DNA
Quantitative-amount of viral load.
Viral Capsid Antigen-active, past and reactivation.
Dr. Jin Sung is a Chiropractic Physician who specializes in the management of complex chronic conditions in Massachusetts, 30 minutes north of Boston. He utilizes natural and alternative therapies to help manage complex cases such as Hashimoto's, autoimmune conditions, IBS, SIBO, chronic fatigue, brain fog, early Alzheimer's, etc.
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