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Mono or leukemia ?

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cash4

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Joined: 12 May 2008
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Mono or leukemia ?
Posted: 05-12-08 12:26pm

My son (4) was diagnosed with Mono about a month ago, but on his EBV testing it showed he was in the final stages of it and had actually already had it for about 6 weeks. The pediatrician released him to return to normal activities. He ran fever of about 101 - 101.4 complained with headaches, and sore throat, and wanted to be held. He started running temperature again yesterday, and complained with the same syptoms. I am concerned because I was reading on WebMD that a positive testing for mono, could mean leukemia, lymphoma, or other cancer's. It said that the blood test would react the same way with these disease as mono! Should I get him tested for something else?
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MandMs

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Posted: 05-13-08 04:42am

When was the first time he developed symptoms of mono?
Toddlers and preschools usually have mild symptoms and can be sick for only a few days.
Blood tests are performed to look for an elevated number of white blood cells (lymphocytes) or abnormal-looking lymphocytes. These blood tests won't confirm mononucleosis, but they may suggest it as a possibility.
Both, leukemia and mononucleosis (and other conditions) are characterized with increased percentage of atypical lymphocytes, but doctors can distinguished atypically changed lymphocytes in mono and leukemia under the microscope.
Also, you have confirmation test (EBV testing) for the cause of your son's condition.
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cash4

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Joined: 12 May 2008
Posts: 3

Posted: 05-13-08 08:24am

Yes he has tested positive for Mono on an EBV Panel. I was just concerned because all symptoms went away and have been away approximately a month, and he has started complaining about throat and headache, and has ran fever the last three days. So I was worried that it may be something else, because of the time gap between symptoms.
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MandMs

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Posted: 05-15-08 03:59am

These symptoms could be recurrent mono symptoms, because, sometimes the disease lingers for a year or so, causing recurrent attacks that gradually become more mild.
Usually, in healthy kids, resolves completely with one attack.
My question is if your son was healthy one before symptoms of mono?

Also, one of the complications of mono is abnormal blood cell production. The virus can suppress the ability of the bone marrow to make blood cells, such as platelets and white blood cells. This can lead to bleeding problems and increased susceptibility to infection, respectively.
I guess, after the mono disease, your son got decreased immunity and increased susceptibility to infection. So, the symptoms he is experiencing now could be caused by other infect, for ex. from adenoviruses that are very frequent in infants and young children and can give the same symptoms as mono.

You can talk with his doctor and ask for some tests about his immune system's status.

Thinking of you and your son!
Well wishes to your son and your family!
Marija
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