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Infectious mononucleosis

Mononucleosis infectiosa · Infekční mononukleóza

What it is

Epstein-Barr virus, spread by saliva; teenagers and young adults hit hardest.

Symptoms & signs

  • Severe sore throat
  • huge tonsils
  • swollen neck nodes
  • profound fatigue for weeks
  • fever
  • enlarged spleen
  • rash if given amoxicillin

🚩 Get help if…

  • call 112 / 911 now Trouble breathing or swallowing saliva
  • call 112 / 911 now Sudden sharp pain in the upper left belly
  • see a doctor soon Yellow skin or eyes
  • see a doctor soon Unable to drink enough fluids

Where it strikes

Medical treatment

  • Supportive care
  • fluids and analgesia
  • steroids only for airway compromise
  • avoid contact sport 4–6 weeks (splenic rupture risk)

Natural & lifestyle

  • Rest and gradual return
  • hydration
  • salt-water gargles
  • no alcohol while liver enzymes are raised

Emerging & experimental

  • EBV vaccines in trials
  • EBV link to MS driving new prevention research

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Valaciclovir — small trials shortened symptoms early / small studies
  • Echinacea and elderberry — untested for glandular fever anecdotal / traditional

ICD codes