Should my 6 year old son still have a lot of swollen glands in his neck 4 months after having epstein barr virus? He was admitted to the hospital for 2 days when he was diagnosed with mono, because he could hardly drink. Was given IV fluids. Now 4 months
Enlarged . Enlarged lymph nodes or "lymphadenopathy" are very common. Lymph nodes are part of the immune system and enlarge with white blood cells to fight off infections when they detect a foriegn substance such as a virus or bacteria. (ever notice lumps in your neck with a sore throat?) usually these nodes shrink back down to normal size a few weeks after the infection is over, but can sometimes stay enlarged. No one is quite sure why this happens, but it's usually harmless. The nodes will never "go away" but they will become less noticeable as your child grows and the nodes do not. This is also known as "shotty lymphadenopathy" because they feel like buck shot under the skin. Other illnesses such as autoimmune disease or cancer can cause enlarged lymph nodes, but often multiple nodes are involved, they can get very large (more than 1 centimeter), keep growing instead of shrinking and are associated with other symptoms such as fever, chills, weight loss, rash, etc. Presuming that your son has no other symptoms besides these noticeable but unchanging nodes, the odds of them being anything dangerous are extremely low. Legal disclaimer: I am providing this general and basic information as a public service and my response to this question does not constitute a doctor-patient relationship. For any additional information, advice, or specific concerns, please speak with your own physician. The information provided is current as of the date of the answer entry.
Possible. He may still have enlarged lymph nodes, but it would be best to have a follow up visit with your pediatrician.