is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Philadelphia, PA: Elsevier 2020:chap 159. Approach to the patient with lymphadenopathy and splenomegaly. Philadelphia, PA: Elsevier 2020:chap 281. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Philadelphia, PA: Elsevier 2020:chap 138. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Epstein-Barr virus (infectious mononucleosis, Epstein-Barr virus-associated malignant diseases, and other diseases). Does this patient have infectious mononucleosis?: the rational clinical examination systematic review. Related Information Non-Hodgkin lymphomaĮbell MH, Call M, Shinholser J, Gardner J. Avoid kissing or sharing utensils if you or someone close to you has mono. The virus can live for several hours outside the body. How long someone with the disease is contagious varies. People with mono may be contagious while they have symptoms and for up to a few months afterwards. Persistent high fevers (more than 101.5☏ or 38.6☌)Ĭall 911 or the local emergency number or go to an emergency room if you develop:.You do not need to contact a provider unless your symptoms last longer than 10 days or you develop: The early symptoms of mono feel very much like any other illness caused by a virus. Spleen rupture (rare, avoid pressure on the spleen)ĭeath is possible in people who have a weakened immune system.Nervous system problems (rare), such as Guillain-Barré syndrome, meningitis, seizures, damage to the nerve that controls movement of the muscles in the face ( Bell palsy), and uncoordinated movements.Hepatitis with jaundice (more common in people older than 35).Anemia, which occurs when red blood cells in the blood die sooner than normal.Possible ComplicationsĬomplications of mononucleosis may include: Tiredness usually goes away within a few weeks, but it may linger for 2 to 3 months. The fever usually drops in 10 days, and swollen lymph glands and spleen heal in 4 weeks. Take acetaminophen or ibuprofen for pain and fever.Īlso avoid contact sports if your spleen is swollen (to prevent it from rupturing).Gargle with warm salt water to ease a sore throat.Steroid medicine (prednisone) may be given if your symptoms are severe.Īntiviral drugs, such as acyclovir, have little or no benefit. The goal of treatment is to relieve symptoms. Antibody titer - tells the difference between a current and past infection.Monospot test - will be positive for infectious mononucleosis.White blood cell (WBC) count - will be higher than normal if you have mono.Swollen tonsils with a whitish-yellow covering.Swollen lymph nodes in the front and back of your neck.Your health care provider will examine you.
#Mono mouth skin#
Jaundice (yellow color to the skin and whites of the eyes).Swollen lymph nodes, most often in the neck and armpit.General discomfort, uneasiness, or ill feeling.
(Antibiotics are typically not given without a test that shows you have a strep infection.) Often, the lymph nodes in the neck are swollen and painful.Ī pink, measles-like rash can occur, and is more likely if you take the medicine ampicillin or amoxicillin for a throat infection. Your tonsils become swollen and develop a whitish-yellow covering. Mono may begin slowly with fatigue, a general ill feeling, headache, and sore throat.
Rarely, it is caused by other viruses, such as cytomegalovirus (CMV). Mono is caused by the Epstein-Barr virus (EBV). It is known as "the kissing disease." Mono occurs most often in people ages 15 to 17, but the infection may develop at any age. Mono is often spread by saliva and close contact. Mononucleosis, or mono, is a viral infection that causes fever, sore throat, and swollen lymph glands, most often in the neck.
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