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Mononucleosis

Also known as Infectious Mononucleosis, Glandular Fever, and Pfeiffer's Disease

Mononucleosis (also called "Mono", glandular fever, and, colloquially, the "kissing disease"), is a disease most commonly caused by the Epstein-Barr virus (EBV). EBV affects the lymphocytes which are white blood cells involved in the adaptive immune system. Mononucleosis can also be caused by cytomegalovirus (HCMV), a herpes virus most commonly found in body fluids. While CMV can cause mononucleosis, 85% of the cases are associated with EBV. The disease can be seen in many populations and age cohorts, but is most commonly contracted by adolescents and young adults ages 15–35.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with mononucleosis, 85% report having sore throat, 70% report having fever, and 57% report having headache. The symptoms that are highly suggestive of mononucleosis are sore throat and swollen lymph nodes, although you may still have mononucleosis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with mononucleosis often receive hematologic tests, complete blood count, intravenous fluid replacement, kidney function tests, electrolytes panel, liver function tests, blood culture and influenzavirus antibody assay .

Common Medications

The most commonly prescribed drugs for patients with mononucleosis include dexamethasone topical product, drospirenone / ethinyl estradiol, adapalene topical, phentermine, nalbuphine (nubain), cat's claw preparation, tromethamine, cladribine, intramuscular immunoglobulin (baygam), lipase, trandolapril / verapamil, desoximetasone topical and ramelteon (rozerem) .

Who is at risk?

Groups of people at highest risk for mononucleosis include age 5-14 years age 15-29 years. On the other hand, age 75+ years almost never get mononucleosis.

Age

< 1 years
0.2x
1-4 years
0.7x
5-14 years
2.0x
15-29 years
3.4x
30-44 years
0.6x
45-59 years
0.1x
60-74 years
0.1x
75+ years
0.0x

Sex

Male
0.9x
Female
1.1x

Race/Ethnicity

Black
0.4x
Hispanic
0.4x
White
1.4x
Other
0.6x
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