Question
The child tested positive for EBV infection with impaired liver function. The doctor recommended hospitalization, but there is concern that the injections may cause the child to cry continuously and potentially trigger apnea. Inquiry about treatment methods that do not require hospitalization, as well as any effective medications or liver-protective drugs that can be chosen. The current levels of alanine aminotransferase are 97, and aspartate aminotransferase are 85. Request for professional opinions and assistance.
Answer
Treatment for liver damage caused by EBV can be divided into two parts: first, antiviral treatment, which can use acyclovir, both oral and intravenous administration are equally effective. If intravenous infusion is not desired, oral acyclovir can be chosen. Allergic reactions to acyclovir are extremely rare; if it has never been used and there is no allergic reaction, there is no special reason to believe that an allergic reaction will occur. Second, liver protection treatment; children can choose drugs such as dipyridamole, reduced glutathione, or glycyrrhizin.