The predominant finding is generalized lymphadenopathy. Nodes are of moderate size and nontender and usually include the occipital, axillary, and inguinal chains. The disease is fatal, its Until a bacterial cause is excluded by culture of blood and CSF, parenteral antibiotic therapy should be administered. Treatment of Acetaminophen is recommended for fever. Codeine, morphine, and the phenothiazine derivatives may be necessary for pain and vomiting, but if possible, their use in children should be minimized because they may induce misleading signs and symptoms.
Intravenous fluids are occasionally necessary because of poor oral intake.
The risks of cardiac and respiratory failure or arrest are high with severe disease. All fluids, electrolytes, and medications are initially given parenterally.