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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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 action. ...  Read Full »

Why do I get a fever, feel nauseous, and weakness after kissing someone?

Query: Hello doctor, I am a 20 year old woman. Every time I kiss someone, even just a peck or someone I have kissed before, I get a bad fever that sometimes lasts up to a week, nausea, and fatigue that makes me sleep almost all day and night. I have only kissed about three people. Will this go away eventua...  Read Full »


Dr. Settipalli Saravan Pramod

Answer: Hello, Welcome to icliniq.com. It could be due to Epstein-Barr virus (EBV). It typically occurs in teenagers, but you can get it at any age. The virus is spread through saliva, which is why some people call it 'the kissing disease.' I would like to enlighten you about few other diseases you can get ...  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 »

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 »

What is the white stuff on my tonsils?

Query: Hi doctor, I am a 21 year old female, and I thought I had strep throat. I went to the doctor to get a rapid strep test, but it came back negative. I then got a throat culture done, which I have not received. I have white furry looking stuff behind my tonsils. My throat was sore for three days, and m...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post and images (attachment removed to protect patient identity). You have a short history of sore throat and muscle pain, and your images show exudative pharyngitis. The most common reason is a viral infection, which will explain the sore throat...  Read Full »

I have white patches in the throat, but the strep test was negative. Why?

Query: Hi doctor, Two weeks ago, I developed white patches in the throat. I do not feel a sore throat, but there is slight discomfort, runny nose, and cough. I think it is due to cold. Also, I feel body pain for the past three days. I was tested for strep, and the rapid strep test was negative. The white...  Read Full »


Dr. Nagaraj

Answer: Hi, Welcome to icliniq.com. By looking at the history and symptoms, a few things come to my list of differential diagnosis. Before that, I would like to know a few things like whether it is associated with difficulty in swallowing, headache, neck stiffness, etc. As you mentioned you have already t...  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 the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So ...  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 »

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 »

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