(Infectious Mononucleosis; Mono)
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- Contracting EBV after age 10
- Lowered immune resistance, due to other illness, stress, or fatigue
- Living in close quarters with a large number of people, such as in a college dormitory
- High fever
- Severe sore throat
- Swelling of the lymph nodes
- Loss of appetite
- Muscle aches
- Enlargement of the spleen
- Swollen tonsils
- Mild jaundice
Relief of Symptoms
- Taking nonprescription pain relievers to lessen aches and pains and control fever— avoid aspirin, especially in children
- Gargling with warm, salty water to relieve sore throat
- Rest and fluids
- No heavy lifting or exercise for at least several weeks after recovery to decrease the risk of rupturing an enlarged spleen
- Avoid intimate contact, especially kissing, with anyone who has active mononucleosis.
- Eat a healthful diet.
- Avoid excess stress.
- Get enough rest.
Centers for Disease Control and Prevention http://www.cdc.gov
National Institute of Allergy and Infectious Diseases http://www.niaid.nih.gov
About Kids Health http://www.aboutkidshealth.ca
The College of Family Physicians of Canada http://www.cfpc.ca
Balfour HH Jr, Hokanson KM, et al. A virologic pilot study of valacyclovir in infectious mononucleosis. J Clin Virol. 2007;39:16-21.
Berkow R. The Merck Manual of Medical Information. 17 ed. New York, NY: Simon and Schuster, Inc; 2000.
Infectious mononucleosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 28, 2013. Accessed March 25, 2013.
Luzuriaga K, Sullivan JL. Infectious mononucleosis. N Engl J Med. 2010 May 27;362(21):1993-2000.
Mononucleosis. Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/mononucleosis.html. Updated November 2010. Accessed March 25, 2013.
- Reviewer: Kari Kassir, MD
- Review Date: 09/2012 -
- Update Date: 03/25/2013 -