Obstructive sleep apnea (OSA): a complication of acute infectious mononucleosis infection in a child.
Independently, obstructive sleep apnea (OSA) and infectious mononucleosis are not uncommon in the pediatric population, but acute onset of OSA, as a respiratory complication in the setting of acute EBV infection is extremely uncommon. Previous reports of this clinical entity are sparse and from nearly two decades ago. Urgent adenotonsillectomy was commonly advocated. This complication may be managed medically with systemic corticosteroids and non-invasive continuous positive airway pressure (CPAP), and a case is presented to highlight an updated management approach to this rarely encountered clinical problem in children.
Division of Pediatric Otolaryngology, Cohen Children's Medical Center, New Hyde Park, NY, United States; Department of Otolaryngology - Head and Neck Surgery, North Shore-LIJ School of Medicine, Hempstead, NY, United States. Electronic address: jcheng2@nshs.edu.
Jeffrey
J
Cheng
D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D011175:Positive-Pressure Respiration; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones
Epstein–Barr virus; Infectious mononucleosis; Obstructive sleep apnea; Pediatric