Common "Infectious Mononucleosis" queries answered by top doctors | iCliniq

Infectious Mononucleosis

Infectious mononucleosis is also called glandular fever, which is caused by the Epstein Barr virus (EBV). It commonly spreads through saliva and rarely through blood or semen. The symptoms are fever, fatigue, sore throat, rashes, and swollen lymph nodes in the neck and armpits. It can be treated by taking adequate rest, fluids, and medications.

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How do I know if I transmitted mono to a boy after kissing him?

Query: Hello doctor, I kissed a boy, and he got mono a few days later. He accused me of giving it to him, but I have never shown any symptoms of having it. Should I get tested? What to do? Please help.  Read Full »


Dr. Vandana Andrews

Answer: Hello, Welcome to icliniq.com. I went through your query. It is possible that you could have unknowingly transmitted infectious mononucleosis (mono) to your partner, even if you did not show any symptoms of the infection at the time. This is because the virus that causes mono can be present in ...  Read Full »

Why am I suffering from recurrent a throat infection?

Query: Hi doctor, I had strep infection about a month ago. It took 6 to 10 days to get cured with the antibiotics. It has come back in the same way again. Should I take the same antibiotics? Could it be something else like a mono tonsilitis? I am currently taking Imuran 50 mg. Please give your opinion.  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hi, Welcome to icliniq.com. I went through your post. You have received the antibiotics one month back for streptococcal infection. You cannot take the same antibiotics at this time because it has been less than three months. So, you need a different antibiotic with a different mechanism of actio...  Read Full »

I have PBC and COPD. Should stay away from a person diagnosed with mono?

Query: Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto's, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six pe...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis is usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing the objects like water bottles or glass objects can spread infection. So yo...  Read Full »

How accurate is monospot test for infectious mononucleosis?

Query: Hello doctor, My test is positive for infectious mononucleosis. But my EBV IgM is negative. How accurate Monospot test is? One week abdominal pain and severe throat pain were there.  Read Full »


Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to icliniq.com. Monospot test has high sensitivity but it is not so accurate. It can come positive in other infections like rubella, CMV (cytomegalovirus), HIV, toxoplasmosis, and other diseases like SLE. So, if EBV IgM is negative then chances of it being infectious mononucleosis i...  Read Full »

My partner has infectious mononucleosis. Should I refrain from kissing her?

Query: Hello doctor, My partner has kissing disease, and her symptoms include a high fever, neck pain, and other symptoms. She is in the hospital now, resting, and I wonder when I can be with her without having a fear of acquiring this infection. I have read that the virus will remain in her mouth for at l...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I understand your concern. Here I am giving you my suggestion for your case. Kissing can spread infectious mononucleosis and EBV (Epstein-Barr virus) respiratory infection. So, until she recovers symptomatically, avoid sexual contact such as kissing. If you have a fe...  Read Full »

After kissing my partner who has a history of mononucleosis, I had a sore throat which lasted for two weeks. What could be the reason?

Query: Hi doctor, My partner had mononucleosis two years ago. Three days after we kissed, I contracted a sore throat with a cough and runny nose, but I also had been swimming the day before. The sore throat lasted for two weeks and I am concerned. I also had rashes on my hands but those have been coming...  Read Full »


Dr. Rajesh Jain

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. You do not have to worry about anything. It seems to be an upper respiratory tract infection or sore throat. It may be due to a change in season or the consumption of cold drinks. It is not related to mononucleosis. I ...  Read Full »

How to treat chronic fatigue and weakness due to positive EBV?

Query: Hello doctor, I have had problems with chronic fatigue for the past 10 years. I was reading about EBV and the test came back positive. Can you review the attached report and give me analysis and next steps as far as testing and treatment?  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have seen the report (attachment removed to protect patient identity). The positive IgG report can be due to past infection as well. To rule out recent infection, you need to investigate with IgM antibody estimation against EBV (Epstein-Barr virus). ...  Read Full »

I have a lump below Adam's apple. What it could be?

Query: Hi doctor, I am a 33-year-old male. I am a non-smoker and non-drinker. I have a lump below Adam's apple. I have swollen lymph nodes with pain in the throat. The pain radiates up to the ears. There is a change in voice, hoarseness, and have difficulty in swallowing both solid and liquid foods. I hav...  Read Full »


Dr. Pradeep Patidar

Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Your CT (computed tomography) scan is clear. Below Adam's apple, there is a thyroid gland, and a nodule in the thyroid is quite common. But the rest of the features suggests infectious ...  Read Full »

Can sore throat still persist even after completing a course of antibiotic?

Query: Hello doctor, I am a 18-year-old female. I had a sore throat for a week, 20 days ago. I went to ER, and they gave me shots for pain and infection. I took Benadryl, DayQuil, Tylenol, and antibiotics. The soreness subsided after completing the antibiotic course. Now I have throat redness and postnasa...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I understand your concern. According to your statement, you have throat redness and postnasal drip. You had a history of sore throat. Sore throat, throat redness, and postnasal drip may result from any infection such as viral in...  Read Full »

What are the chances of reinfection in infectious mononucleosis?

Query: Hello doctor, I am a 20-year-old male with no previous major health issues. I currently weigh around 165 lbs with a height of 6 feet. Before three months, I was diagnosed with infectious mononucleosis, and I was cured, or I thought so. Since then, I have dealt heavily with weakness and pain in my a...  Read Full »


Dr. Utkarsh Sharma

Answer: Hello, Welcome to icliniq.com I understand your concern and will help you regarding it. In general, if you have had infectious mononucleosis (IM) in the past, then the chances of reinfection are very slim. However, the feeling of tiredness may last for few months. Also, in susceptible...  Read Full »

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