Department of Additional Information

1986 ◽  
Vol 7 (7) ◽  
pp. 222-222
Author(s):  
MARGARET A. KENNA
Keyword(s):  
Nasotracheal Intubation ◽  
Epstein Barr Virus Infection ◽  
Additional Information ◽  
Barr Virus ◽  
Nasopharyngeal Airway ◽  
Epstein Barr ◽  
Barr Virus Infection ◽  
The Many ◽  
Posterior Pharynx ◽  
Excellent Article

While reading the otherwise excellent article, "The Many Faces of Infectious Mononucleosis: The Spectrum of Epstein-Barr Virus Infection in Children" (Pediatrics in Review 1985;7:35-44), I noted that Dr Grose refers to the airway management of these children done at the Children's Hospital of Pittsburgh. Dr Snyderman's article to which Dr Grose refers (Pediatric Clinics of North America 1981;28:1011-1016), however, does not recommend nasotracheal intubation, as described by Dr Grose but, rather, placement of a nasopharyngeal airway. This tube does not enter the trachea between the vocal cords but, essentially, bypasses the enlarged adenoids and tonsils and rests in the posterior pharynx.

The Many Faces of Infectious Mononucleosis: The Spectrum of Epstein-Barr Virus Infection in Children

1985 ◽  
Vol 7 (2) ◽  
pp. 35-44
Author(s):  
Charles Grose
Keyword(s):  
Infectious Mononucleosis ◽  
Febrile Illness ◽  
Epstein Barr Virus Infection ◽  
Test Results ◽  
Barr Virus ◽  
Disease States ◽  
Subclinical Disease ◽  
Epstein Barr ◽  
Barr Virus Infection ◽  
The Many

Infectious mononucleosis is a disease well known to every pediatrician. Who has not seen the previously robust teenager who slowly becomes less active, develops lowgrade fever and a sore throat, and complains of being tired all the time? Upon arriving at the physician's office with these complaints the teenager is usually given a "Mono-Spot" test (almost routinely). The test results are often strongly positive. The pediatrician then must discuss the diagnosis with both the teenager and the parents and must respond to the attendant questions. Is the disease really acquired by kissing? How serious is it? Are there any lasting effects? Will the feeling of tiredness ever go away? Is infectious mononucleosis a form of cancer? Can I have the disease more than once? Is there any therapy? The answers to many of the above questions have changed dramatically over the last 5 to 10 years. The spectrum of infectious mononucleosis continues to be expanded and now includes acute, subacute, and chronic disease states, each with its own separate set of problems. Subclinical disease can now be diagnosed in younger children with an obscure febrile illness. On rare occasions, overwhelming infectious mononucleosis results in death in some young children, especially boys.

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