a patient present with enlarged cervical lymph node and persist fever for 7 days guess diagnosis?.

correct answer is option a... Infectious mononucleosis, often referred to as "mono," is a viral infection most commonly caused by the Epstein-Barr virus (EBV), which is a member of the herpesvirus family. It is sometimes called the "kissing disease" because it is frequently transmitted through saliva, although it can also be spread through other bodily fluids. ▎Symptoms Infectious mononucleosis typically presents with a range of symptoms, which can vary in severity. Common symptoms include: • Fatigue: Profound tiredness that can last for weeks or even months. • Fever: A moderate to high fever is common. • Sore Throat: Often severe, resembling strep throat, with swollen tonsils and possible white patches. • Swollen Lymph Nodes: Particularly in the neck and armpits. • Headache: Generalized headaches may occur. • Skin Rash: Some individuals may develop a rash. • Enlarged Spleen or Liver: This can lead to abdominal discomfort. ▎Diagnosis Diagnosis of infectious mononucleosis typically involves: • Clinical Evaluation: Assessment of symptoms and physical examination. • Blood Tests: • Complete Blood Count (CBC): May show an increase in white blood cells, particularly atypical lymphocytes. • Monospot Test: A rapid test that detects heterophile antibodies; positive results indicate mono but are not specific to EBV. • EBV-Specific Antibody Testing: More definitive tests can identify specific antibodies to EBV. ▎Treatment There is no specific antiviral treatment for infectious mononucleosis. Management focuses on relieving symptoms: • Rest: Adequate rest is essential for recovery. • Hydration: Staying hydrated helps alleviate symptoms. • Pain Relief: Over-the-counter medications like acetaminophen or ibuprofen can help reduce fever and relieve throat pain. • Corticosteroids: In severe cases with significant swelling (e.g., obstructive tonsillitis), corticosteroids may be prescribed. ▎Complications Most individuals recover fully from mono, but some potential complications include: • Splenic Rupture: An enlarged spleen can be at risk of rupture, particularly with contact sports or heavy lifting. • Liver Issues: Mild liver inflammation (hepatitis) may occur. • Chronic Fatigue: Some individuals report prolonged fatigue after recovery. ▎Prevention Preventing infectious mononucleosis primarily involves minimizing exposure to the virus. This includes: • Avoiding sharing drinks, utensils, or personal items with someone who has mono. • Practicing good hygiene, such as regular handwashing. Infectious mononucleosis is generally a self-limiting illness, and most people recover completely within a few weeks to months. If you suspect you have mono or have concerning symptoms, it's important to consult a healthcare provider for evaluation and guidance.