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My son is 11 years old. He has been sick off and


Sent to Health Experts March 18, 2006 9:40 p.m.

My son is 11 years old. He has been sick off and on for about 2 months with flu or stomach virus symptoms. Last week he started sleeping all the time and running a 102 fever. I took him to the dr and although the test came back negative they said he has mono (viral syndrome) they told me he could go back to school in 2 days. This was Wed. I kept him home the rest of the week, the 102 fever stayed till thursday. Fri 101 this morning it broke and now 101.8 again. He has fever blisters all in is mouth since Wed. We had increased his vitamins, started a gatorade and booste for food, he eats only when he can. We have been using chloreseptic for the pain, anbesol, and gargling with peroxide for the mouth and taking benedryl and gargling with mallax. The mouth sores are getting worse. They are now spreading outside his mouth. Is there anything more I can do? I am not sending him back to school till his fever breaks for a complete 24 hours? but what about these sores? Is it dangerous for him to go to school with these? they are so raw, painfull and open? Any advise on what else I can do? He is also alternating tylenol and advil for the fever and I have been giving him Vatamin C and Acidaphalis which I crush and feed him with yogurt. The Dr said it just needs to run its course but this is sense Wed, should I be taking him back again to be relooked at. 6 days with a fever, although it is showing improvement. Any advise appreciated. Marie

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March 18, 2006 11:08 p.m. (1 hour and 28 minutes later)
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My sympathies to you, it sounds as if your son (and probably yourself) have been miserable with this. Although infectious mononucleosis occurs commonly, it can still be a real burden to deal with both for the patient and the care-giver.

Your description of your son's symptoms sounds largely consistent with mono. The fever can persist (with some fluctuations) for up to three weeks, and a decreased appetite and lack of energy are certainly consistent as well. I am a bit concerned, however, by your description of the lesions in his mouth and now on his lips. Infectious mononucleosis can often involve a red, extremely painful sore throat and this can also involve the tonsils and the soft, upper palate but I do not believe that it involves ulcers beyond those areas. Sores spreading beyond the confines of the mouth and onto the lips and face is also inconsistent with a diagnosis of mono, to my understanding.

As such, I would recommend another visit to the pediatrician or the emergency room if necessary. Reassessment is prudent at this point. Although mono can be a miserable diagnosis to live with, your description of the lesions inside and outside of his mouth raises some concern. So have him evaluated again and I believe that your concern is appropriate.

I hope that I have been of some help, and take care

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