infectious mononucleosis plus sinus infection

I took my 16 year old son in for sinuitis and was tested positive for Mono also.  The doctor forgot about the sinus problem which got worse, as did the mono.  Now his tonsils are pretty much swollen and so is his nose.  His mucus discharge is very green(it has been for awhile)and quite productive. This has happened all in a weeks time except for the sinus problem which has been going on for about a month before the diagnosis of mono.(not the swollen nose just the mucus).  Here lies the problem, the doctor cannot give me the steroids for the swelling because my son has a Pars Defect of L-5 fracture. He did put him on an antibiotic now for 3 days, but the swelling has yet to go down.  The swelling is bad.  The nose is shut completly, and the throat I can only see a little opening. I have tried ocean spray, Arin only 2 times with no luck.I also use steam on him.  He brings ups phlem constantly.  Now his fever has gone from 100.5 to 102.00  What to do?

[Kevin Pho, MD]

If the swelling is so bad that it impairs breating and swallowing, this needs to be seen urgently by an ENT physician.  If not, the swelling will go away as part of the healing process.  If the swelling continues, more urgent evaluation is needed to consider to use of IV antibiotics.  I would also have the throat examined to ensure there is no abscess present (in which case it may need to be drained).  

The symptoms of mononucleosis will not be treated with antibiotics, and may linger for several weeks.  However, it seems that the pharyngitis is the main problem here, and should be seen by a physician sooner rather than later.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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