(Infectious Mononucleosis; Mono)
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- Contracting EBV after age 10
- Lowered immune resistance due to other illness, stress, or fatigue
- Living in close quarters with a large number of people, such as in a college dormitory
- High fever
- Severe sore throat/swollen tonsils
- Swelling of the lymph nodes
- Loss of appetite
- Muscle aches
- Enlargement of the spleen or liver
- Mild jaundice
- Symptoms, which can differ according to age; young children may be difficult to diagnose
Four primary symptoms:
- Swollen lymph nodes
- Sore throat
Two primary tests:
- Blood tests and mono spot tests
- Throat culture—to check for strep throat , which can resemble mononucleosis and also complicate mononucleosis
Relief of Symptoms
- Taking nonprescription pain relievers to lessen aches and pains and control fever
- Note : Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.
- Gargling with warm, salty water to relieve sore throat
- Get plenty of rest and fluids
- Do not lift anything heavy or exercise for at least several weeks after recovery to decrease the risk of rupturing an enlarged spleen
- Avoid contact or collision sports while you have symptoms or an enlarged spleen
- Avoiding intimate contact, especially kissing, with anyone who has active mononucleosis
- Eating a healthful diet
- Avoiding excess stress
- Getting enough rest
Centers for Disease Control and Prevention http://www.cdc.gov
National Institute of Allergy and Infectious Diseases http://www.niaid.nih.gov
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
The College of Family Physicians of Canada http://www.cfpc.ca
Balfour HH Jr, Hokanson KM, et al. A virologic pilot study of valacyclovir in infectious mononucleosis. J Clin Virol. 2007;39:16-21.
Epstein-Barr virus-associated mononucleosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 30, 2013. Accessed August 27, 2014.
Luzuriaga K, Sullivan JL. Infectious mononucleosis. N Engl J Med. 2010 May 27;362(21):1993-2000.
Mononucleosis. Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/mononucleosis.html. Updated March 2014. Accessed August 27, 2014.
- Reviewer: Fabienne Daguilh, MD
- Review Date: 06/2014 -
- Update Date: 05/11/2013 -