Most people are infected by the virus as children, when the disease produces few or no symptoms. Take them only to relieve pain or a fever. What, if anything, appears to worsen your symptoms? Symptoms of mono include. When can I return to strenuous activities and contact sports? Your doctor may recommend a gradual exercise program to help you rebuild your strength as you recover. This site complies with the HONcode standard for trustworthy health information: verify here. However, mononucleosis isn't as contagious as some infections, such as the common cold.You're most likely to get mononucleosis with all th… Antibiotics don't work against viral infections such as mono. Seek the help of friends and family as you recover from mononucleosis. In young adults, the disease often results in fever, sore throat, enlarged lymph nodes in the neck, and tiredness. Mono refers to the symptoms of … The content of this site is published by the site owner(s) and is not a statement of advice, opinion, or information pertaining to The Ohio State University. Epstein-Barr virus and infectious mononucleosis. Mono, or infectious mononucleosis, refers to a group of symptoms usually caused by the Epstein-Barr virus (EBV). How can I best manage them together? AskMayoExpert. This disease comprises three main manifestations, such as fever, adenopathy, and pharyngitis. Infectious mononucleosis is a clinical syndrome caused by Epstein-Barr virus (EBV) that is particularly common in adolescents and children. Epstein-Barr virus infection. Pharyngitis is caused by swelling in the back of the throat (pharynx) between the tonsils and the (larynx).The most common bacteria to cause pharyngitis is group A streptococcus, commonly known as Strep throat (NIH MedlinePlus, 2014). Advertising revenue supports our not-for-profit mission. For some people, … The sore throat slowly gets worse. http://www.merckmanuals.com/professional/infectious-diseases/herpesviruses/infectious-mononucleosis. Allow me to break this a little. Preparing a list of questions will help you make the most of your time with your doctor. Infectious mononucleosis is caused by Epstein-Barr virus (EBV, human herpesvirus type 4) and is characterized by fatigue, fever, pharyngitis, and lymphadenopathy. Rupture of the spleen results in severe bleeding and is a medical emergency. Many people are already immune to the Epstein-Barr virus because of exposure as children. For mononucleosis, some basic questions to ask your doctor include: Don't hesitate to ask any other questions. Other than the most likely cause, what are other possible causes for my symptoms or condition? Accessed Oct. 26, 2015. Infectious mononucleosis should be suspected in patients with typical symptoms and signs. The majority of individuals that are affected by this disease do not show signs and symptoms, and the few that do present have flu-like symptoms. Mononucleosisis an illness that affects teenagers and young adults, mainly ages 14 to 30, but can occur in children and older adults. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. The virus that causes mono is transmitted through saliva, so you can get it through kissing, but you can also be exposed through a cough or sneeze, or by sharing a glass or food utensils with someone who has mono. Have your symptoms been continuous or occasional? The diagnosis is made by accurate assessment of clinical, hematologic and serologic manifestations of the illness. Patients presenting with fever and swollen lymph glands with complaints of sore throat and recent fatigue provide rationale for this differential diagnosis. Aronson MD, et al. The most common are: 1. Accessed Oct. 26, 2015. Merck Manual Professional Version. Pathophysiology and clinical presentation – correct diagnosis. IM typically manifests in adolescents and young adults as a febrile illness with sore throat and enlarged lymph nodes. Reye's syndrome information page. It’s most common in teens and young adults. Accessed Oct. 26, 2015. Infectious mononucleosis (called \"mono\" for short) is caused by the Epstein-Barr virus (EBV), a virus that affects nearly everybody at some point. Epstein-Barr virus is a member of the herpesvirus family and is one of the most common viruses that infects humans. Mononucleosis is an infectious illness that’s usually caused by the Epstein-Barr virus (EBV). Accessed Oct. 26, 2015. Infectious mononucleosis may begin slowly with fatigue, a general ill feeling, headache, and sore throat. What are the likeliest causes of my symptoms or condition? Mono occurs most often in teens and young adults. http://www.ninds.nih.gov/disorders/reyes_syndrome/reyes_syndrome.htm. I have other health conditions. Infectious mononucleosis is usually diagnosed based on symptoms and a physical exam. At best, the Monospot test may indicate that a person has a typical case of infectious mononucleosis, but does not confirm the presence of EBV infection. It’s also called mono or “the kissing disease.” You … Students need to let their schools know they are recovering from mononucleosis and may need special considerations to keep up with their work. Sullivan JL. Infectious mononucleosis (mono) is a contagious illness typically caused by the Epstein-Barr virus (EBV). (Contopoulos-Ioannidis, D.G., Maldonado, Y., & Montoya, J.G., 2013), If you have trouble accessing this page and need to request an alternate format, contact u@osu.edu. This is because aspirin has been linked to Reye's syndrome, a rare but potentially life-threatening condition, in such children. Besides getting plenty of rest, these steps can help relieve symptoms of mononucleosis: Take an over-the-counter pain reliever. What websites do you recommend? Have you been exposed to anyone with mononucleosis? The causative agent of infectious mononucleosis is "Epstein-Barr virus"(known as EBV or human herpes virus 4 [HHV-4]). Mono is usually caused by the Epstein-Barr virus (EBV) or similar viruses, but strep throat and some other conditions may need to be ruled out. While the Centers for Disease Control (CDC) no longer recommends the monospot test, many guidelines still encourage using this test to help i… Infectious mononucleosis may begin slowly with fatigue, a general ill feeling, headache, and sore throat. The sore throat slowly gets worse. Mononucleosis and Epstein-Barr: What's the connection? A variant of mononucleosis that is milder than EBV infectious mononucleosis is caused by the cytomegalovirus (CMV). A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2018 update by the Infectious Diseases Society of America and the American Society for Microbiology. Am J Med Sci . It commonly occurs in teenagers, but one can get it at any age. The lymph nodes in the neck are frequently swollen and painful (NIH PubMed Health, 2012). Here's some information to help you get ready for your appointment and know what to expect from your doctor. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. Are there any medications I need to avoid? Accessed Oct. 26, 2015. However, approximately 10% of those with IM are not acutely infected with EBV and many of these have symptoms attributable to … "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Treatment mainly involves taking care of yourself, such as getting enough rest, eating a healthy diet and drinking plenty of fluids. Infectious mononucleosis. Most Americans have had an EBV infection by age 40 years. See our safe care and visitor guidelines, plus trusted coronavirus information. Your doctor may suspect mononucleosis based on your signs and symptoms, how long they've lasted and a physical examination. 1958 Oct. 236(4):447-59 passim. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Infectious mononucleosis (“mono”) is caused by an Epstein-Barr virus (EBV) infection. Infectious mononucleosis, also known as glandular fever, is an infection usually caused by the Epstein–Barr virus. Symptoms and signs include chills, followed by fever, sore throat (often severe), enlarged tonsils, swollen lymph glands especially in the neck, muscle aches, headaches and severe fatigue. Use caution when giving aspirin to children or teenagers. Make a donation. EBV antibody tests are not usually needed to diagnose infectious mononucleosis. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. By 40 years of age, 90% of individuals are infected. Children and teens can have the virus for 4 to 7 weeks before symptoms show up. Infectious mononucleosis (often termed mono) is a disease most often caused by a virus. Mayo Clinic, Rochester, Minn. Aug. 16, 2018. Without a doubt, you'll need to take it easy for a while. Infectious mononucleosis (mono) is often called the kissing disease. Mononucleosis is not considered a serious illness, but its symptoms may be severe enough to prevent a person from engaging in normal activities for several weeks. You may take over-the-counter pain relievers to treat a fever or sore throat. Your tonsils become swollen and develop a whitish-yellow covering. How long should I stay home? Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Be patient with your body as it fights the infection. The virus spreads through saliva, which is why it’s sometimes called “kissing disease.” Mono occurs most often in teens and young adults (NIH MedlinePlus, 2014). Infectious mononucleosis is caused by the Epstein-Barr virus (EBV). Other viruses can also cause mononucleosis. Most people recover in two to four weeks; however, feeling tired may last for … The patient exhibited with swollen lymph nodes, fever, and fatigue which are the central symptoms seen with a Toxoplasma gondii infection diagnosis. Infectious mononucleosis. Toxoplasma gondii is the result due to an infection from the Toxoplasma gondii parasite, which is one of the world’s most common parasites. The disease is sometimes known as glandular fever, because it causes lymph glands to swell up. Epstein-Barr virus is spread through bodily fluids. For young people, having mononucleosis will mean some missed activities — classes, team practices and parties. The virus spreads through saliva, which is why it's sometimes called "kissing disease." He or she will look for signs such as swollen lymph nodes, tonsils, liver or spleen, and consider how these signs relate to the symptoms you describe. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Infectious mononucleosis is an infection usually caused by the Epstein-Barr virus. It typically occurs in teenagers, but you can get it … Infectious mononucleosis in adults and adolescents. Though aspirin is approved for use in children older than age 3, children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. Aronson MD, et al. Fever; Sore throat; Swollen lymph glands The virus is dissipated through saliva, which is … College students should also contact the campus student health center staff for assistance or treatment, if necessary. Severe complications, including airway obstruction, splenic rupture, and neurologic syndromes, occasionally occur. However, you can get it at any age. Infectious mononucleosis (IM) is usually a self-limiting infection, most often caused by Epstein-Barr virus (EBV), which is a human herpes virus. Infectious mononucleosis, or "mono", is an infection usually caused by the Epstein-Barr virus. Are there brochures or other printed material that I can take with me? http://www.uptodate.com/home. Symptoms may develop slowly and may not all occur at the same time.These symptoms include: 1. extreme fatigue 2. fever 3. sore throat 4. head and body aches 5. swollen lymph nodes in the neck and armpits 6. swollen liver or spleen or both 7. rashEnlarged spleen and a swollen liver are less common symptoms. ... Campbell S, et al. This content does not have an English version. Steckelberg JM (expert opinion). In children younger than 4 years, the infection is most often asymptomatic, but they may present with atypical symptoms (eg, irritability, failure to thrive, abdominal pain due to mesenteric adenopathy or splenomegaly, upper respiratory infection [URI] symptoms). Mayo Clinic is a not-for-profit organization. Returning to your usual schedule too soon can increase the risk of a relapse. Antibiotics don't work against viral infections such as mono. In some cases, your child’s doctor may also order tests to confirm a diagnosis, including a white blood cell count, heterophile antibody test or monospot test. There's no specific therapy available to treat infectious mononucleosis. It's also called the \"kissing disease\" because kissing is a common method of transmission.Before 5 years of age, 50% of individuals are infected by EBV. Using contaminated items, such as … Mononucleosis, or infectious Mononucleosis or Glandular Fever, infers to a group of symptoms usually caused by the Epstein-Barr virus (EBV). Typical symptoms of infectious mononucleosis usually appear four to six weeks after you get infected with EBV. A single copy of these materials may be reprinted for noncommercial personal use only. Exudative pharyngitis, anterior cervical lymphadenopathy, and fever may be clinically indistinguishable from those caused by group A beta-hemolytic streptococci. Infectious mononucleosis differential diagnosis, treatment options, and images at Epocrates Online, the leading provider of drug and disease decision support tools. This topic focuses on IM caused by EBV. Accessed Aug. 10, 2018. https://www.uptodate.com/contents/search. Neither text, nor links to other websites, is reviewed or endorsed by The Ohio State University. Mononucleosis, also known as \"mono,\" is an infectious disease that is usually caused by the Epstein-Barr virus (a herpes virus). This infectious disease can be spread by saliva, and the incubation period for mono is four to eight weeks. It has been estimated that approximately 50% of students have had mono by the time they enroll in college. Patients presenting with fever and swollen lymph glands with complaints of sore throat and recent fatigue provide rationale for this differential diagnosis. The diagnosis 'infectious mononucleosis' is primarily used when the syndrome is caused by EBV; 'mononucleosis syndrome' should be used when the syndrome is caused by a non-EBV aetiology. Abstract Infectious mononucleosis is caused by the Epstein-Barr virus (EBV) and most commonly affects young adults from 15 to 35 years of age. http://www.uptodate.com/home. To help you avoid the risk of rupturing your spleen, your doctor may suggest that you wait about one month before returning to vigorous activities, heavy lifting, roughhousing or contact sports.

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