{"id":8214,"date":"2020-04-27T16:07:24","date_gmt":"2020-04-27T19:07:24","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/mononucleosis-infecciosa\/"},"modified":"2020-04-27T16:07:24","modified_gmt":"2020-04-27T19:07:24","slug":"mononucleose-infectieuse","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/","title":{"rendered":"Mononucl\u00e9ose infectieuse"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contenu<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Basculer la table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Basculer<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/#%C2%BFQue-es-la-mononucleosis-infecciosa\" >Qu&#039;est-ce que la mononucl\u00e9ose infectieuse?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-mononucleosis-infecciosa\" >Quelles sont les caract\u00e9ristiques cliniques de la mononucl\u00e9ose infectieuse?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/#Compromiso-de-la-piel-por-mononucleosis-infecciosa\" >Compromis cutan\u00e9 de la mononucl\u00e9ose infectieuse<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/#Signos-cutaneos-de-infeccion-por-EBV\" >Signes cutan\u00e9s d&#039;infection \u00e0 EBV<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/#%C2%BFComo-se-realiza-el-diagnostico-de-mononucleosis-infecciosa\" >Comment se fait le diagnostic de mononucl\u00e9ose infectieuse?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/mononucleosis-infecciosa\/#%C2%BFQue-tratamiento-hay-disponible-para-la-mononucleosis-infecciosa\" >Quel traitement est disponible pour la mononucl\u00e9ose infectieuse?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-mononucleosis-infecciosa\"><\/span>Qu&#039;est-ce que la mononucl\u00e9ose infectieuse?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La mononucl\u00e9ose infectieuse est \u00e9galement connue sous le nom de glandulaire terrestre <span class=\"term\" data-term-id=\"1176\">fi\u00e8vre<\/span>&#039;. Elle affecte g\u00e9n\u00e9ralement les jeunes adultes de 15 \u00e0 25 ans. La mononucl\u00e9ose infectieuse est caus\u00e9e par le virus de l&#039;herp\u00e8s humain de type 4, plus commun\u00e9ment appel\u00e9 virus Epstein-Barr (EBV). Ce virus se transmet de personne \u00e0 personne par la salive, comme partager un verre ou s&#039;embrasser. Les <span class=\"term\" data-term-id=\"1618\">incubation<\/span> la p\u00e9riode entre le contact et les sympt\u00f4mes est de 1 \u00e0 2 mois.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-mononucleosis-infecciosa\"><\/span>Quelles sont les caract\u00e9ristiques cliniques de la mononucl\u00e9ose infectieuse?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La pr\u00e9sentation la plus courante de la mononucl\u00e9ose infectieuse est la fi\u00e8vre, l&#039;\u00e9largissement <span class=\"term\" data-term-id=\"1775\">ganglions lymphatiques<\/span> et maux de gorge Cependant, le virus peut \u00e9galement affecter d&#039;autres organes, comme le montre le tableau ci-dessous.<\/p>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th>Organe impliqu\u00e9<\/th>\n<th style=\"text-align: left;\">Sympt\u00f4mes et signes<\/th>\n<\/tr>\n<tr>\n<td>Rate<\/td>\n<td>\n<ul>\n<li>Spl\u00e9nom\u00e9galie (hypertrophie de la rate)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Les articulations<\/td>\n<td>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1578\">Arthrite<\/span> dans une ou plusieurs articulations<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Reins<\/td>\n<td>\n<ul>\n<li>Glom\u00e9rulon\u00e9phrite<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Syst\u00e8me nerveux<\/td>\n<td>\n<ul>\n<li>M\u00e9ningoenc\u00e9phalite<\/li>\n<li>Paralysie de Bell (paralysie faciale)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1456\">Transversal<\/span> my\u00e9lite<\/li>\n<li>Guillain barre <span class=\"term\" data-term-id=\"350\">syndrome<\/span>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Tube digestif<\/td>\n<td>\n<ul>\n<li><span class=\"term\" data-term-id=\"1801\">H\u00e9patite<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Lumi\u00e8re<\/td>\n<td>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"750\">Interstitiel<\/span> pneumonie<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Coeur<\/td>\n<td>\n<ul>\n<li><span class=\"term\" data-term-id=\"1055\">P\u00e9ricardite<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Yeux<\/td>\n<td>\n<ul>\n<li>\n<p>Gonflement des paupi\u00e8res<\/li>\n<li><span class=\"term\" data-term-id=\"1033\">K\u00e9ratite<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"505\">Uv\u00e9ite<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"1898\">Conjonctivite<\/span><\/li>\n<li>R\u00e9tinite<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Syst\u00e8me sanguin<\/td>\n<td>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"691\">Auto-immune<\/span> <span class=\"term\" data-term-id=\"1524\">h\u00e9molytique<\/span> <span class=\"term\" data-term-id=\"598\">an\u00e9mie<\/span> (d\u00e9gradation des globules rouges)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"623\">Thrombocytop\u00e9nie<\/span> (r\u00e9duit <span class=\"term\" data-term-id=\"1089\">plaquette<\/span> dire)<\/li>\n<li>Neutrop\u00e9nie (diminution du nombre de globules blancs)<\/li>\n<li>Agglutinines froides (prot\u00e9ines qui <span class=\"term\" data-term-id=\"1496\">pr\u00e9cipit\u00e9<\/span> dans des conditions plus froides)<\/li>\n<li>Immunod\u00e9ficience<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Compromiso-de-la-piel-por-mononucleosis-infecciosa\"><\/span>Compromis cutan\u00e9 de la mononucl\u00e9ose infectieuse<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Une atteinte cutan\u00e9e est observ\u00e9e chez environ 10% de patients non hospitalis\u00e9s atteints de mononucl\u00e9ose infectieuse. Le plus souvent, il y a un \u00e9vanouissement, <span class=\"term\" data-term-id=\"309\">\u00e9largi<\/span>pas de d\u00e9mangeaisons <span class=\"term\" data-term-id=\"255\">\u00e9ruption<\/span>, qui dure environ une semaine. Est d\u00e9crit comme <span class=\"term\" data-term-id=\"938\">maculopapulaire<\/span> <span class=\"term\" data-term-id=\"93\">exanth\u00e8me<\/span>Autrement dit, il existe des plaques plates qui peuvent contenir de petites taches rouges bossel\u00e9es. On pense qu&#039;il est d\u00fb directement au virus. Cette \u00e9ruption appara\u00eet souvent d&#039;abord sur le tronc et le haut des bras, et quelques jours plus tard, elle se propage pour toucher le visage et les avant-bras. D&#039;autres apparitions de cette \u00e9ruption cutan\u00e9e comprennent:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"377\">Morbide<\/span> (petites plaques plates ressemblant \u00e0 la rougeole)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1188\">Papular<\/span> (petites bosses)<\/li>\n<li>Scarlatiniforme (petites taches comme la scarlatine)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1029\">V\u00e9siculaire<\/span> (petites cloques)<\/li>\n<li>Purpuric (comme une ecchymose)<\/li>\n<\/ul>\n<p>Ceci contraste avec une \u00e9ruption maculopapuleuse ou morbilliforme plus irritante qui appara\u00eet sur <span class=\"term\" data-term-id=\"948\">muscle extenseur<\/span> surfaces et points de pression 7 \u00e0 10 jours apr\u00e8s le traitement avec des antibiotiques b\u00eata-lactamines tels que l&#039;ampicilline, l&#039;amoxicilline et les c\u00e9phalosporines. Cette \u00e9ruption indique un &#039;<span class=\"term\" data-term-id=\"943\">hypersensibilit\u00e9<\/span> r\u00e9action \u00e0 l&#039;antibiotique. Ce n&#039;est pas vrai <span class=\"term\" data-term-id=\"1136\">allergie<\/span> et cela ne se produit pas si l&#039;antibiotique est administr\u00e9 plus tard en l&#039;absence d&#039;EBV <span class=\"term\" data-term-id=\"145\">infection<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Signos-cutaneos-de-infeccion-por-EBV\"><\/span>Signes cutan\u00e9s d&#039;infection \u00e0 EBV<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ebv-rash-02__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1598679-3710914' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ebv-rash-02__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1598679.jpg'>\n<\/div>\n<p class=\"p-small\">\u00c9ruption cutan\u00e9e EBV<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ebv-rash-01__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3325296-7083520' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ebv-rash-01__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3325296.jpg'>\n<\/div>\n<p class=\"p-small\">\u00c9ruption cutan\u00e9e due \u00e0 une infection \u00e0 EBV et \u00e0 l&#039;amoxicilline<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='prurit-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-1109843-7228753' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pruritus-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-1109843.jpg'>\n<\/div>\n<p class=\"p-small\">Rayures et ecchymoses dues aux d\u00e9mangeaisons cholestatiques induites par l&#039;EBV<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Il existe une vari\u00e9t\u00e9 d&#039;affections cutan\u00e9es rares associ\u00e9es \u00e0 une infection par l&#039;EBV, notamment:<\/p>\n<ul>\n<li>\n<p>Acrodermatite papuleuse infantile (syndrome de Gianotti-Crosti)<\/li>\n<li><span class=\"term\" data-term-id=\"90\">\u00c9ryth\u00e8me<\/span> multiforme<\/li>\n<li>Erythema nodosum<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1646\">Urticaire<\/span> y compris l&#039;urticaire froide\n<\/li>\n<li><span class=\"term\" data-term-id=\"293\">Urticaire<\/span> <span class=\"term\" data-term-id=\"1091\">vascularite<\/span><\/li>\n<li>\n<p>Acrocyanose (mains et pieds bleus)<\/li>\n<li><span class=\"term\" data-term-id=\"9\">Annuler<\/span> \u00e9ryth\u00e8me<\/li>\n<li><span class=\"term\" data-term-id=\"234\">Pityriasis<\/span> lich\u00e9no\u00efdes<\/li>\n<li>\n<span class=\"term\" data-term-id=\"585\">Paume<\/span> <span class=\"term\" data-term-id=\"53\">dermatite<\/span>\n<\/li>\n<li>Organes g\u00e9nitaux r\u00e9actifs <span class=\"term\" data-term-id=\"1278\">ulc\u00e9ration<\/span><\/li>\n<li>\n<span class=\"term\" data-term-id=\"319\">Chronique<\/span> <span class=\"term\" data-term-id=\"498\">bulleux<\/span> maladie infantile<span class=\"term\" data-term-id=\"321\">lin\u00e9aire<\/span> IgA bullous <span class=\"term\" data-term-id=\"60\">maladie de peau<\/span>)<\/li>\n<li>Leucoplasie velue<\/li>\n<li>Hydroa vacciniforme<\/li>\n<li><span class=\"term\" data-term-id=\"1728\">Lymphomato\u00efde<\/span> granulomatose<\/li>\n<li>D\u00e9mangeaisons et \u00e9gratignures dues \u00e0 <span class=\"term\" data-term-id=\"1711\">cholestatique<\/span> <span class=\"term\" data-term-id=\"732\">jaunisse<\/span>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-realiza-el-diagnostico-de-mononucleosis-infecciosa\"><\/span>Comment se fait le diagnostic de mononucl\u00e9ose infectieuse?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Habituellement, un test sanguin est effectu\u00e9, qui d\u00e9tecte les caract\u00e9ristiques <span class=\"term\" data-term-id=\"1395\">atypique<\/span> <span class=\"term\" data-term-id=\"421\">lymphocytes<\/span> (globules blancs). Un test de d\u00e9pistage \u00abmonospot\u00bb positif peut \u00eatre command\u00e9, car il existe plusieurs autres infections virales qui peuvent provoquer des sympt\u00f4mes similaires dans lesquels des lymphocytes atypiques sont d\u00e9tect\u00e9s.<\/p>\n<p>La fonction h\u00e9patique est g\u00e9n\u00e9ralement v\u00e9rifi\u00e9e. D&#039;autres tests d\u00e9pendront des organes affect\u00e9s par l&#039;infection.<\/p>\n<p>D&#039;autres tests sanguins plus sensibles et sp\u00e9cifiques ne sont g\u00e9n\u00e9ralement effectu\u00e9s que sur <span class=\"term\" data-term-id=\"349\">aigu<\/span> Infection \u00e0 EBV aux caract\u00e9ristiques atypiques. Ceux-ci inclus: <span class=\"term\" data-term-id=\"426\">des anticorps<\/span> \u00e0 la capside EBV et <span class=\"term\" data-term-id=\"1612\">nucl\u00e9aire<\/span> <span class=\"term\" data-term-id=\"410\">antig\u00e8ne<\/span>et <span class=\"term\" data-term-id=\"941\">R\u00e9action en cha\u00eene par polym\u00e9rase<\/span> Test EBV <span class=\"term\" data-term-id=\"1296\">ADN<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-tratamiento-hay-disponible-para-la-mononucleosis-infecciosa\"><\/span>Quel traitement est disponible pour la mononucl\u00e9ose infectieuse?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Le traitement peut n\u00e9cessiter un alitement et une simple analg\u00e9sie telle que l&#039;ac\u00e9taminoph\u00e8ne pendant <span class=\"term\" data-term-id=\"1050\">f\u00e9brile<\/span> \u00e9tape. L&#039;acyclovir est parfois prescrit, mais il n&#039;est pas tr\u00e8s efficace. Les antibiotiques ne sont pas utiles.<\/p>\n<p>La r\u00e9cup\u00e9ration est g\u00e9n\u00e9ralement termin\u00e9e, mais cela peut prendre plusieurs semaines ou mois pour se sentir \u00e0 nouveau bien. La fatigue prolong\u00e9e est courante.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la mononucleosis infecciosa? La mononucleosis infecciosa tambi\u00e9n se conoce como land glandular fiebre\u2019. Por lo general, afecta a adultos j\u00f3venes de 15 a 25 a\u00f1os. La mononucleosis infecciosa&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-8214","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/8214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=8214"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/8214\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=8214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=8214"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=8214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}