Childhood Diseases

Posted by: Elle | 2011-11-03


Glandular Fever and CMV

Dear Dr

I have a 2 ½  yr old son. He has a long history of illnesses. He has undergone numerous tests and end of last year he was “ diagnosed”  with primary ciliary dyskinesia. Only the dr (1ST) who asked for the cilia biopsy “ believes”  the diagnosis, not even the ENT who did the biopsy believed it and everyone (other peds and ENTs) said that we had to do it again in a year or 2. The reason being that he looks very healthy and is very active. He was tested for every allergy possible, nothing came up. His immune system is fine, iron is fine (it was low when he was about 6 months old, but with treatment it came right). Since the diagnosis he has been treated with Singulair and Fox air. Our pediatrician (different to 1st) treated him more for asthma and also included deselex and nasonex. In Aug he was diagnosed with the RS virus. The treatment wasn’ t changed. On Tuesday I took him back for check-up and the ped felt his spleen was enlarged and said it was worrying because it was already enlarged in Aug. After test it was established he had glandular fever (a follow up infection –  I didn’ t know about the first time) and cytomegalovirus. Now, the dr was so relieved about the outcome that when I asked what now, he was kind of “ well, you should be glad it wasn’ t anything worse” . I’ m also relieved but it doesn’ t take the fact away that he is ill. I don’ t know anything about the 2 virusses and how I should help him, treat him, what are the implications (the doc said, no treatment and he’ ll be fine in a week)? Should I take him back to check that his spleen normalised?

And then, I gave the whole history, because I’ m just wondering if everything isn’ t connected? And why is he getting all these infections, what can I do to prevent it. He is in school, so I know he picks up a lot of it there, but I can think that his classmates are as ill as he is most of the time. He still has a permanent cough (not a wheeze) and take him to the GP on a regular basis as to ensure that the infection does not move down to his lungs and except for the RS virus (secondary infection and fever)he has not had any anti –  biotics for over a year. So, he is doing “ well”  except for all these virus infections. He has also had croup twice this year. I’ m just wondering whether the diagnosis is maybe correct or is there something else we can try or need to do.


Expert's Reply



It is possible that your son's diagnosis is indeed that of primary ciliary dyskinesia. The diagnosis is usually based on a biopsy and examination under the microscope. The paediatrician would not have informed you about this if the pathology report did not confirm this diagnosis. This condition is often out of the experience of many doctors.This diagnosis would certainly explain your son's cough and frequent illnesses.
Your son appears to be recovering from a recent glandular fever infection. There is no treatment for this illness. Sometimes this illness can last for months but usually lasts for two to three weeks.CMV infection is often not recognised at the time and can be very mild and completely symptom-free in most cases. It is often an infection that occurs in the first year of life.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Posted by: Elle | 2011-11-03

P.S Could his swollen spleen also be responsible for his not eating? I thought it might just be his 2yr old stubborness, because he just looks at his food and says: I''m not going to eat. But is might be because he is feeling full? Do I need to give him more supplements/vitamines?

Thanks so much

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