Infectious mononucleosis

Question 1

For infectious mononucleosis (Glandular fever), state:

- Causative agent and incubation

Answer 1

Causative agent and incubation:
• Caused by the Epstein-Barr Virus(EBV)
• Incubation period: 3 - 6 weeks

Question 2

For infectious mononucleosis (Glandular fever), state:

- How it is spread

Answer 2

How it is spread:
• Occurs predominantly by exposure to infected saliva, often as a result of kissing
• Those infected with EBV carry the virus, usually in a dormant state, for the rest of their life

Question 3

For infectious mononucleosis (Glandular fever), state:

- General signs and symptoms

Answer 3

General signs and manifestations:
• Acute Pharyngitis
• Malaise
• Fever
• Lymphadenopathy

Question 4

For infectious mononucleosis (Glandular fever), state:

- Oral manifestations

Answer 4

May look like primary herpetic gingivostomatitis:
• Widespread oral ulcerations
• Petechial haemorrhages
• Bruising
• In young children lesions are often found in the posterior pharynx and soft palate

Question 5

For infectious mononucleosis (Glandular fever), state:

• Prevention (4)
• Treatment (5)

Answer 5

Prevention:
• Wash hands thoroughly, especially after sneezing/coughing
• Avoid saliva contact with people who are sick (e.g.kissing)
• Avoid sharing drink containers
• Clean contaminated items

Treatment:
• Self-limiting disease
• NSAIDS are recommended to manage fever, throat discomfort and malaise
• Maintain fluid uptake, balanced diet and rest
• Do not need to keep child home unless sick
• Further evidence needed to support treatment with acyclovir