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Infectious Mononucleosis
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Overview of infectious mononucleosis 

Infectious mononucleosis is an infection transmitted through the saliva and mucus. It is also known as glandular fever and is caused by Epstein-Barr virus. The virus is transmitted from person to person by saliva.

After the virus enters into the body it takes about 4 to 8 weeks for the first symptoms to appear. More often it’s seen in young adults of age 15 to 25.Infectious mononucleosis is characterized by fever, sore throat and enlargement of lymph nodes (organs of the immune system). Difficulty in breathing occurs due to swelling behind the throat.1

Annual incidence of 10 to 48 cases per 1000 occurs in young adults.2 Severe complication leads to enlargement of spleen. Taking adequate fluids and bed rest is the key for the therapy.3 

 

Causes of Infectious Mononucleosis

Causes of infectious mononucleosis

 

Infectious mononucleosis is mainly caused by Epstein-Barr virus. This virus spreads from an infected to an uninfected individual through the saliva.

 

Signs and symptoms of Infectious Mononucleosis

Signs and symptoms of infectious mononucleosis

 

Infectious mononucleosis commonly occurs in young adults and children. Signs such as weakness, skin rashes, difficulty in breathing and fatigue are seen commonly.

 

Diagnosis of Infectious Mononucleosis

Diagnosis of infectious mononucleosis

 

Physical examination shows the signs of fever, sore throat, lymph node enlargement, and enlargement of tonsiller, spleen and liver.


Treatment of Infectious Mononucleosis

Treatment of infectious mononucleosis

There is no specific cure reported for infectious mononucleosis. The symptoms of the infections persist for about 4 weeks and then subside itself. Mainstay of the treatment is supportive care.


Complications of Infectious Mononucleosis

Complications of infectious mononucleosis

Enlargement of spleen is one of the complication seen in severe cases wherein the spleen may get ruptured in rare instances. 


Prevention for Infectious Mononucleosis

As Epstein-Barr virus is present in the saliva for months affected individuals should not share the dishes, glasses or utensils until fever subsides or even for longer duration. Individuals should avoid kissing and coming in close contact with body fluid secretions of the affected individuals.3,5 

Written by: Healthplus24 team
Date last updated: April 16, 2012

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References 
  1. Hill S.New Zealand Dermatological Society Incorporated. Infectious mononucleosis. [updated: Oct          2009; cited: November 2009].Available at: http://dermnetnz.org/viral/ebv.html.
  2. Ebell.M. American Physician Association.  Epstein - Barr virus Infectious Mononucleosis. [updated: October 2004; cited: November 2009]. Available at : http://www.aafp.org/afp/20041001/1279.html
  3. Mayoclinic.com. Mononucleosis.[updated: June 2009;cited:November 2009].Available at: http://www.mayoclinic.com/health/mononucleosis/DS00352
  4. Family Doctor.org. Mononucleosis.[updated: March 2009;cited: November 2009].Available at :http://familydoctor.org/online/famdocen/home/common/infections/common/viral/077.html.
  5. Cunha.BA.emedicine. Infectious Mononucleosis. [cited: November 2009]. Available at: http://emedicine.medscape.com/article/222040-followup.
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