Complaint
David, a 22-year-old male, reports a persistent sore throat and swollen lymph nodes for the past three weeks, along with fatigue and night sweats. His blood test showed elevated white blood cell count and atypical lymphocytes.
Main Possible Diagnosis
Infectious Mononucleosis (80%) - Infectious mononucleosis, often called mono, is a viral infection caused by the Epstein-Barr virus (EBV). It is characterized by symptoms such as sore throat, swollen lymph nodes, fatigue, and night sweats.
Less Likely Diagnosis
Cytomegalovirus (CMV) Infection (20%) - CMV is another viral infection that can cause similar symptoms to mononucleosis, including sore throat, swollen lymph nodes, and fatigue.
Diagnosis
Based on your symptoms and blood test results, the most likely diagnosis is infectious mononucleosis, commonly known as mono. This condition is caused by the Epstein-Barr virus (EBV) and is characterized by a sore throat, swollen lymph nodes, fatigue, and night sweats. The elevated white blood cell count and presence of atypical lymphocytes in your blood test further support this diagnosis.
Another possible but less likely diagnosis is a Cytomegalovirus (CMV) infection, which can present with similar symptoms and blood test findings. However, CMV is less common compared to EBV in causing these symptoms.
Mono is generally not serious and is self-limiting, meaning it will resolve on its own with time. However, it can cause significant discomfort and fatigue for several weeks. It is important to get plenty of rest, stay hydrated, and avoid strenuous activities, especially contact sports, as the spleen can become enlarged and is at risk of rupture.
You should follow up with your healthcare provider for further evaluation and management. They may recommend additional tests to confirm the diagnosis and rule out other conditions.
Medical Test Report
Your blood test showed an elevated white blood cell count of 15.0 x10^9/L and 15% atypical lymphocytes. These findings are consistent with a viral infection, such as mononucleosis.
Questions And Answers
Could this be mononucleosis? Yes, based on your symptoms and blood test results, it is very likely that you have mononucleosis.Disclaimer
This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. Contact us at hi@doctola.com