Spontaneous Spleen Rupture In Infectious Mononucleosis

Oct 12, 2015

Spontaneous splenic rupture in infectious mononucleosis. How will his body fight the infection without his spleen.

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Infectious Mononucleosis :: Recurring Glandular Fever

Living with Recurring Glandular Fever

Many people who catch glandular fever (Epstein-Barr virus) recover completely, but for a significant minority, like me, the virus hides from the immune system. I believe that this ability was discovered in the late 1960s. I heard of it in a BBC science programme in the early 70s, and immediately recognised my situation.

I caught glandular fever (without complications) in spring 1967 when I was a youth. Those who are affected by recurring symptoms, will recognise my case, where the symptoms receded imperceptibly slowly. It took about 9 months from being infected before I felt more or less normal again - for a while.

I pass on my experience of coping with this condition. There is bad news and good news.

The bad news is that the symptoms recur throughout life - that is for those who have difficulty clearing the original infection. A cure might emerge, but I am assuming that this will not happen. The good news is that, in time, the symptoms become gradually less of a problem.

The bad news is that one needs to adapt one's lifestyle in order to deal with this. The good news is that one can live a normal life. There are many with other lifelong conditions, who are far worse off.

Any virus illness (cold, 'flu) will trigger the symptoms. Something as common as catching a cold runs as follows. One feels unwell (exhausted), with no symptoms. About 2 days later, the cold symptoms start, accompanied with swelling of the glands in the throat and/or cheeks. The swelling is not very noticeable to others. One has a slightly raised temperature, and feels quite ill. After 4 to 10 days, the cold symptoms and swelling subside, but the feeling of exhaustion remains. This can last 4 to 6 weeks, or 6 months after a bout of 'flu.

How can you cope? There are a number of measures.

1) Smoking exacerbates the symptoms. If you are a smoker, you will be one of those who find stopping smoking relatively easy. You will soon learn to avoid smoke-filled places.

2) Should the symptoms start, treat as for a cold, or 'flu. You will feel exhausted, and a good thing to do is to get a lot of sleep.

3) It is worth getting a 'flu vaccination, if you can.

4) Exercise - you won't feel like exercise, and it is wise to rest while the cold symptoms are there. Once they are gone, and the feeling of exhaustion remains, that is the time to resume vigorous exercise. I think it might be the raised body temperature which helps to fight off the symptoms. In the case where you go to the gym, you will have to force yourself against the feeling of exhaustion for the first time, and even the second time, but by the third time, you realise that you are much fitter. The exhaustion will go. Regular exercise helps ward off the problems, and the fitter you are, the better you will manage.

5) Avoid catching colds. You will find that you have become especially susceptible to colds. There are many things involved here, from a good, varied diet, a daily multivitamin/mineral tablet (don't overdose), cough sweets in the bus/train etc.

The best advice, and perhaps the most difficult and lifestyle threatening, is to follow what (great) grandmother told you, "Wrap up warm!" Think how she would say, "Put on your sweater/scarf/hat/woolly socks before you go out!" You think. "It is not cold outside". You know it isn't "Cool", and you don't want your friends to laugh at you.

If the summer weather is really hot, you can get away with fashionable wear. Otherwise, the bad news is that keeping warm maybe "uncool" but if you ignore this, you will suffer. Ideally, you should keep on the verge of perspiring, and if the surrounding air is fresh and cool, that is the ideal. Avoid stuffy environments. Avoid becoming too hot, sweaty and wet, and then getting chilled. However, if you can arrange to change into dry clothes and not become chilled (as when you go to the gym), all well and good!

I found these lifestyle adaptations very unwelcome. You will have to find your own way to cope. Thinking of these matters will help, and you can lead a normal life, with bouts of extreme exhaustion from time to time. Take comfort in that these will become less severe, and maybe less frequent as the years pass. Otherwise, you are quite normal. You can achieve what you are capable of intellectually, and physically. Face up to the occasional difficulties, and be determined to succeed with your life. Epstein-Barr will not prevent you.

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Mononucleosis :: Spleen Pain?

I just started getting really bad pain exactly where my spleen is. Whenever I stand up or am sitting there comes a really sharp stabbing pain. I can't breathe on deep or eat alot, all I can feel is this pain. Someone said it's because they mono, I've had mono but I'm not sure what that has to do with your spleen.

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Mononucleosis :: How Would I Know If My Spleen Ruptured?

I am a 30 year old female who was diagnosed with mono April 19, 2014. It has been quite the challenge caring for my 7 month old and having to take time from work. I never had the fever, although I have the other fun mono symptoms such as discomfort in shoulder blades and under ribs from liver and spleen. I have visited both my physician and GI doctor and they can not feel any swelling which is good. I am 6 weeks into the disease and feel pretty good. I am happy to report my bloodwork came back normal yesterday. Last night, my 7 month old kicked me in the back (upper left side of my shoulder) while sleeping next to me. My anxiety alarm went off. I am not in pain, however I am feeling a light discomfort in the side and back of ribs. Of course I'm freaking out and thinking something is wrong with my spleen....anxiety can do terrible things to the brain...so maybe its all in my head? Someone told me you would need a blow to the abdomen in order to rupture the spleen and not to worry. How would I know if my spleen ruptured?

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Mononucleosis :: What Would Be Considered An Enlarged Spleen?

I don't have mono but this was the best place I could think of to ask this question since an enlarged spleen is a common problem of mono. I've had pain in my upper left abdomen since March and finally had a CT done of the area. Lady I saw at the clinic originally thought I had mono from where my pain was and my fatigue, but test was negative. CT report I got from the hospital shows 12.9 cm spleen and I'm a 21 y/o female if that makes a difference. I'm in the process of trying to find a PCP instead of just random people at the clinic, so once I get that settled I'll make sure to ask them. Just wondering if this might possibly be the cause of the pain or if I should look elsewhere?

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Enlarged Spleen 9 Months After Mononucleosis

I've had abdominal pains for about 9 months now. At first, they were sharp, so I went to the doctors. They were all over my abdomen (upper left, lower right, lower left back, etc. [sometimes in my upper left chest]) Literally, anywhere over the core of my body. After an ultrasound, it turned out I had an enlarged spleen. From blood tests, they discovered that had mono.

6 months passed, I got another blood test. No mono, but I still had the pains. I got another Ultrasound, and still had an enlarged spleen.

Just a month ago, I got another huge panel of blood tests and they all came back normal. But I still had the pains. I then got a CT scan, and it again showed that everything was normal, except for the fact that I only had an enlarged spleen.

Could my spleen still be recovering from mono? My doctor told me not to be too worried, but it still worries me because I get them everyday. And how could my enlarged spleen (on the left side) account for pains all over my body?

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Mononucleosis :: Pain In Spleen, Liver And Kidneys

Is it possible to have pain in spleen, liver and Kidneys with Mono. I have these issues on and off for 2 years now. I can't find any doctor that can help me resolving these issues. It's very frustrating and I am not sure how long i can handle these?

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Spleen :: Enlarged Spleen - 15cm Normal CBC

i had my annual physical exam month ago. CBC was normal, but on ultrasound my spleen appeared enlarged, approx. 15cm. Month later my spleen was still enlarged, 14cm. I did a CBC + LDH blood test again. Again everything appeared normal on CBC and LDH was 200 (it said that under 330 it was OK). Doc told me not to worry but to have a new ultrasound and CBC (+LDH) in 6 months. I really do not feel like waiting that long. Sometimes during the day I feel extremely tired and sleepy. Any suggestions what to do next other than waiting for 6 months.

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Spleen Hemangiomas, How To Reduce The Size Of My Spleen?

Why is there NO RESEARCH being done on Spleen Hemangiomas? Are doctors making more money by just removing them and then dealing with the poor health thereafter? I want to know how to reduce the size of my spleen that is full of large hemangiomas. Anyone know anything about this. I also have them in my liver.

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Ever Since My Spontaneous Pneumothorax, Difficulty Exercising

Ever since my spontaneous pneumothorax I have had a lot of trouble with exercising. All the doctors have given me a clean bill of health and yet I can't run a 1/4 mile without being completely out of breath. Has anyone else experienced this? I need help because I am trying to be a peace officer and it is what I have been working toward for years. I have to be able to run for this job and right now I can't.

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42 Women Developed Instant Spontaneous Pneumothorax

I am a woman of 42 very energetic but one morning I woke up with the most severe pain in my right shoulder and pain down my arm I started crying because I was scared my husband told me to get an ambulance but I said I would be ok, I got dressed for work I dropped the twins off at school then went to work, I walked down to the hospital that is where I work and my boss took one look at me and told me to get to a&e, I went for the x ray then was taken straight to HDU and they told me my lung had collapsed and they needed to put a tube in god I have never felt pain like it, I cried and screamed all the way through, after that I was put on the ward and 6 days later it had not healed up there was a hole in it so they had to transfer me to leeds where I could have the operation done, I had a tiny bit of my lung removed and it was stuck on to my chest wall with irritant powder it helps the lung stick better, when I came to after the operation I was in so much pain and the tablets were not helping they were trying all sorts to get it right, I have been home nearly two weeks and the pain is still there but not has bad its more my ribs and across my stomach and that is what is worrying me and the chance that I might have to have it done again and also there is a 40% chance it can happen to my left lung, I am so scared to do anything in case it happens again, but I am glad I had it done, but it goes to show it can happen to anyone.

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Mononucleosis :: Recovering From Mono?

I am 52 years old. I just discovered that a recent blood test came back positive for mono markers. My doctor told me that I am RECOVERING from mono but I can't remember EVER having mono! I've been suffering from fatigue and body aches (along with shortness of breath) for 3 months now. So, how long is this going to last and how is it possible to be recovering from something I don't ever remember having?

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Mononucleosis :: EBV And Nerve Pain

I have recently been diagnosed with EBV. I didn't present with the "normal" symptoms. I first experienced joint pain, then muscle pain, followed by extreme fatigue and muscle weakness. That lasted for about a month, then I developed sharp electric pains in my nerves and associated muscle weakness and numbness that comes and goes in my arms and legs. The nerve sensations have lasted for about 2 months. I seem to be healing

As I haven't experienced as many sharp electric pains, just numbness and tingling. I have been to a neurologist and have had an MRI of the head and neck which came back normal. Has anyone ever experienced anything of this sort of nature? I've been experiencing symptoms from EBV for 3 months now.

It's also important to note I was tested for Lyme and other blood work was done. Everything was normal except the ebv (which showed I had either contracted ebv in the last 6 months or it was.

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Infectious Diseases :: Is Sepsis Contagious?

Hi I just had a friend pass away from what they believe was Sepsis. But they aren't sure just yet. His organs and fluids came back great. There doing blood tests and we won't know exactly what it was until mid March. I was just wondering if his family and friends should be concerned about getting it?

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Infectious Diseases :: Flu Symptoms After A Cat Bite

So last friday night, my cat bit me on my lower leg. I washed it coz my mom got mad at me with water and soap. Yesterday I feel fatigued (probably due to my brother's birthday and I cooked half the day ugh) and just this morning when I woke up my throat feels itchy and I have had chills. I don't have fever but feels like about to have a flu. I had myself vaccinated after waking up but still feels chilly. Is it rabies? My cat looks well anyway so I don't think she has rabies but I want to be sure. Everyone in my family has had flu last week so I'm not really sure.

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Infectious Disease :: Worms In My Pores

This should be a title to a horror movie, not the title of a post,in another attempt to gain some insight to what is inhabiting the largest organ of my body.

Am I really delusional? the dermatologist diagnosed me as being a cracked egg,I'm a victim of domestic violence and therefore,my brain has made up an imaginary situation, to take me away from the emotional trauma...he says I may also be psychotic, I've mutilated my skin,picked and scraped away at myself,simply because I'm convinced that I am unworthy of my vulnerable protection,my defenseless,pink skin...NO.


That man....he scared me more than any violence, domestic or random! I'm looking to find a slight insight,other than Demodex,scabies,botfly,or the largest bodied Demodex...the one that causes mange in dogs. They're very small but damn it...they're very visible! I thought I had pinpointed where they hail from predominantly... I was wrong. I researched myself...tried different creams...permethrin, high dose cortisone,tea tree...still popping out of the open pores,sometimes sebum sometimes alone. Thread like but also grain of rice like,can't see them move,think they may be in my mouth as well. When I haven't slept for 24 hours( I work a lot) they bite(?) And it feels like I walked through fiberglass,then they come out! Yep,uninvited terrorists and I'm the host. What is this?

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Achilles Tendon Rupture At 86

My mother who is 86 years old but quite fit has suffered an achilles tendon rupture about 7 years ago which has just been diagnosed!! After many visits to doctors and specialists, a podiatrist has just confirmed this. This is incredible, so now after this time my mum struggles to walk. Would an operation be an option? If not, does someone know of any shoes or braces that may give her strength around her heel area to assist in her getting around with her walker?? She is very with it and is suffering not playing her 4 games of regular golf a week and doing much exercise.

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Achilles Tendon Re-rupture?

Would welcome any comments if you've had ATR. I ruptured my AT (partial tear) 20th sept whilst playing basketball. Did not receive surgery saw one consultant who said 8-9 weeks with 3cm heel lifts (plantar flexion) non weight bearing in airboot cast. Wasn't entirely happy with this so got second opinion from an ortho surgeon who's allegedly one of the best in the country. He changed protocol to the more contemporary thinking with physio and weight bearing from week 4 as tolerated.  Week 8 boot came off he was happy with healing, have continued physio am week 10 now am due to return to work next week but since my physio session on Thursday, the area around the tear is in quite a bit of pain. Tender to touch some swelling.  I'm really concerned I've re-ruptured or is this normal after physio.?   

I'm in bad luck with AT, did complete rupture in other leg and had surgery 10 years ago, so needless to say I'm very down in the dumps. 

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Re-rupture Of Achilles Tendon

In 2001, I had surgery for a 90 percent rupture of the Achilles' tendon for the second time, recently I did something to it because it is extremely painful to walk and sore to the touch.  Has anyone ever had this problem?? Do you think even with all the screws that I could have ruptured it again?? I haven't been to a doctor yet.  

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Aortic Aneurysm :: What Causes It's Rupture?

I have just lost my fiance because of this and am trying to find out what causes the aneurysm to rupture. I get answers to why people get aneurysms (none of which apply to him) but no answers as to what causes it to finally rupture.

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Infectious Diseases :: Tick Borne Encephalitis

I got back from a 2 month trip across Eastern, Central and Southern Africa about 6 weeks ago. A few days after I got home I felt quite unwell, fever, headache etc and I was concerned I may have contracted malaria as I wasn't brilliant at remembering to take my pills. So I got referred to infectious disease department who tested me for lots of travel related illnesses. I was negative for malaria but came back positive for tick borne encephalitis and also Rickettsia (related to African tick fever) I think.

I am actually feeling fine now but they called me in for the results ... I'm just a little confused as from what I've seen on travel health websites is that you can't get tick borne encephalitis in africa! I didn't know this at the time so I didn't say anything to the doctor. You get it in Asia and Europe..I did go to Asia about a year and a half ago but would it be possible for this to still show up in my blood?

I'm just a bit worried as I know this disease can be potentially deadly or cause lasting neurological problems and there's no treatment. I'd feel a bit better knowing I definitely caught it from the earlier trip to Asia as then I know it would have made me much sicker by now if it was going to.

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