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No thanksInfectious mononucleosis is an infection caused by the Epstein Bar virus. It is more commonly known as "mono" or "the kissing disease."
Only half of those infected with the virus develop symptoms. Common symptoms include: fever, sore throat and swollen glands in the neck. The sore throat is worse during the first 5-7 days and settles over the next 7-10 days. It can take 3 weeks for the swollen glands to subside.
An enlarged spleen occurs in half of those persons infected with the virus. Some people may develop yellowing of the skin and eyes which is called jaundice.
Symptoms can last from one to several weeks. However, it can take months for a small number of individuals to regain their previous energy level.
In infants or young children, symptoms may be less noticeable. Teens and young adults are more likely to be diagnosed because symptoms tend to be more noticeable.
Symptoms of infectious mononucleosis usually begin 4-6 weeks after being exposed to the virus.
The virus that causes infectious mononucleosis is mainly spread through contact with the saliva of infected persons. Kissing, sharing food or drinks and contact with hands or toys contaminated with infected saliva can spread the infection. Spread can also occur through blood transfusion, but symptoms are uncommon if spread this way.
It is unknown how long a person is contagious. Virus can be shed in saliva for many weeks and even on and off for several years after symptoms subside. These healthy adults are known as 'carriers'.
There is no exclusion to attend daycare/school or work, however, the infection can cause a lack of energy and it may be difficult for some to carry out their normal routines. Some children may need to be off from school for several weeks, while others feel well enough to attend full time.
Antibiotics do not work for this illness since it is caused by a virus. However you can treat the fever and aches with acetaminophen. In addition, rest is needed for most people with this infection and activity should be increased only as tolerated.
This information is intended to provide general health-related information about Infectious mononucleosis. It is not intended to replace medical consultation by your physician and/or other health care professionals.
Source: Red Book 2006, 26th Edition, American Academy of Pediatrics.Control of Communicable Diseases Manual, 2008, 19th Edition,David L. Heymann.