hi ,my 2 year old son has leukopenia ,monocytosis,ly mphocytosis,and hepatosplenomegaly he had fever up to 38.9C for three days doctores say it it might be mononucleosis.what other thing causes such symptoms and what diagnostic investigaiton might he need ?hes ALT AST is normal.now after 8 days he feels normal he wants to play and run all the time can i allow him that
Hi! Thank you for consulting with Chat Doctor ! Infectious Mononucleosis is caused by a virus (Epstein Barr Virus).  Among child Chat Doctor.  The symptoms are fever, sore throat, fatigue and generalized lymphadenopathy- which means enlarged lymph nodes. Patients may also complain of headache and body pain like in other viral infections. On examination, there's enlargement of the spleen and liver such as that seen in your son. Did your doctor do any test to confirm that its Infectious Mononucleosis? Although the symptoms are pointing at it. There's no specific treatment for this. Its mostly supportive, fever medicine and rest. It is best for your child to avoid strenuous activities in the next 2-3 weeks while splenomegaly is still present. We want to avoid any trauma that can cause the spleen to rupture. Hope I was able to help you. Have a good day! Sincerely, Handle Dulay-See, M.D.