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Transmission is impossible to prevent because even symptom-free people can carry the virus in their saliva. In the U. This is a very common virus.

When children are infected with the virus, they usually do not experience any noticeable symptoms. However, uninfected adolescents and young adults who come in contact with the virus may develop an illness very similar to infectious mononucleosis. However, even after the symptoms of infectious mononucleosis have disappeared, the EBV will remain dormant in the throat and blood cells during that person's lifetime. The virus can reactivate periodically, however, usually without symptoms.

Mononucleosis usually lasts for 1 to 2 months. The following are the most common symptoms of mononucleosis. Swollen lymph nodes — A person infected with mono may experience swelling of the lymph nodes, primarily in the neck. Swollen tonsils — Following the development of a sore throat, the tonsils become swollen and develop a whitish, yellowish covering. Treatment Options Generally, your doctor will recommend plenty of rest and hydration until symptoms are resolved and normal activity can be resumed, usually within two months.

Ready for an Appointment? Back One Level. Mono is usually spread by close contact from one person to another, hence the name "kissing disease.

As a precaution, you should avoid sharing drinking glasses, eating utensils, food, and kissing until your sore throat and other symptoms have disappeared for several weeks. Be sure to cover coughs and sneezes, and wash your hands thoroughly and often. For more on mono, see Medline Plus. Toggle navigation Toggle search. Infectious Mononucleosis. On this page: What is mono? Symptoms: Symptoms usually appear days after infection. Common symptoms include: Severe sore throat, which is almost always present and lasts about days.

The throat may be very red, with white spots or pus on the tonsils. This can initially look similar to strep throat. Swollen, tender glands lymph nodes in the neck, lasting up to one month after you are feeling well. Fatigue Headaches Diagnosis: If you have any symptoms and are concerned that you may have mono, you should visit a clinician.

Approach to the patient with lymphadenopathy and splenomegaly. Goldman-Cecil Medicine. Updated by: Jatin M. Editorial team. Common symptoms of mono include: Drowsiness Fever General discomfort, uneasiness, or ill feeling Loss of appetite Muscle aches or stiffness Rash Sore throat Swollen lymph nodes , most often in the neck and armpit Less common symptoms are: Chest pain Cough Fatigue Headache Hives Jaundice yellow color to the skin and whites of the eyes Neck stiffness Nosebleed Rapid heart rate Sensitivity to light Shortness of breath.

Exams and Tests. Your health care provider will examine you. They may find: Swollen lymph nodes in the front and back of your neck Swollen tonsils with a whitish-yellow covering Swollen liver or spleen Skin rash Blood tests will be done, including: White blood cell WBC count: will be higher than normal if you have mono Monospot test : will be positive for infectious mononucleosis Antibody titer : tells the difference between a current and past infection.

Antiviral drugs, such as acyclovir, have little or no benefit. To relieve typical symptoms: Drink plenty of fluids. Gargle with warm salt water to ease a sore throat. Get plenty of rest. Take acetaminophen or ibuprofen for pain and fever.



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