Symptoms and Treatment of Mononucleosis

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Mononucleosis Description of the Disease Mononucleosis is often caused by the Epstein-Barr virus (EBV) but may also be caused by other viruses such as cytomegalovirus. Kissing, coughing, and sneezing are common ways of spreading mononucleosis (DeMoranville, 2002). The disease usually develops several weeks to 2 months after exposure to the virus, which spreads primarily through exchanges of saliva. The incubation period of the EB virus is 2 to 8 weeks followed by an acute phase of 2 to 8 weeks. During this time, the virus can shed intermittently. Although immunity usually results after infection, in rare cases the disease may recur periodically. Mononucleosis, or mono, is often spread by saliva and close contact. Often referred to as the kissing disease, it mainly occurs in persons aged 15 to 17. However, the infection may develop at any age. Other risk factors include sharing contaminated eating utensils as well as cough or sneeze. Symptoms Drowsiness Fever General discomfort, uneasiness, or ill feeling Loss of appetite Muscle aches or stiffness Rash Sore throat Swollen lymph nodes, especially in the neck and armpit Swollen spleen Chest pain Fatigue Jaundice Rapid heart rate Shortness of breath Complications Bacterial infection of the throat Hemolytic anemia Hepatitis with jaundice (more common in patients older than 35) Inflammation of the testicles Nervous system problems though rare including meningitis and seizures Diagnosis The exam may

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