Infectious mononucleosis (mono) is often called the kissing disease. The virus that causes mono is transmitted through saliva, so transmitted through kissing, but people can also be exposed through a cough or sneeze, or by sharing a glass or food utensils with someone who has mono. However, mononucleosis isn't as contagious as some infections, such as the common cold.
Symptoms
Fatigue
General feeling of unwellness (malaise)
Sore throat, perhaps a strep throat that doesn't get better with antibiotic use
Fever
Swollen lymph nodes in your neck and armpits
Swollen tonsils
Headache
Skin rash
Soft, swollen spleen
Causes
Mononucleosis is caused by the EBV. According to the Centers for Disease Control and Prevention (CDC), EBV is a member of the herpes virus family and is one of the most common viruses to infect humans around the world.
The virus is spread through direct contact with saliva from the mouth of an infected person and cannot be spread through blood contact. You can be exposed to the virus by a cough or sneeze, by kissing, or by sharing food or drinks with someone who has mono. It usually takes four to eight weeks for symptoms to develop after you’re infected.
Diagnosis
Mono based on the presence of symptoms such as a fever, a sore throat, and swollen lymph glands. Your age is also a good indicator. Mono usually occurs in teenagers, but it can occur in people at any age.
Preventions
Mono is almost impossible to prevent. This is because healthy people who have been infected with EBV in the past can carry and spread the infection periodically for the rest of their lives. Almost all adults have been infected with EBV by age 35 and have built up antibodies to fight the infection. People normally get mono only once in their lives.
Risk Factors
young people between the ages of 15 and 30
students
medical interns
nurses
caregivers
people who take medications that suppress the immune system
Infectious mononucleosis is generally self-limiting, so only symptomatic and/or supportive treatments are used. Due to splenomegaly contact sports should be avoided. Paracetamol and NSAIDS are used as an anti-inflammatory to reduce symptoms of pharyngeal pain, odynophagia, or enlarged tonsils. ampicillin and amoxicillin are contraindicated during acute Epstein–Barr virus infection.
