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- $Unique_ID{BRK00020}
- $Pretitle{}
- $Title{Mononucleosis: Treatment and Recovery}
- $Subject{mononucleosis fatigue glands Infections infection mono enlarged
- spleen asphyxiation tonsils adenoids Epstein-Barr virus viruses viral kissing
- disease headache sore throat weakness mental physical fatigue Swollen eyelids
- immunologic lymph nodes node gland headaches}
- $Volume{A-22}
- $Log{
- Immune Cell Production Sites I*0004501.scf
- Immune Cell Production Sites II*0004502.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Mononucleosis: Treatment and Recovery
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-
- QUESTION: My son has mononucleosis and his doctor has simply recommended he
- stay home from school and rest for several weeks. The doctor hasn't
- prescribed any medication other than for aches and pains. This worries me to
- no end since I once knew someone who died from mono. What do you think?
- Should I worry? Please tell me more about mono.
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-
- ANSWER: Death is an extremely rare occurrence in mononucleosis patients.
- Complications due to mono that are cause for concern, however, are an enlarged
- spleen, which could rupture, or asphyxiation due to an airway passage
- obstruction. This usually results from the massive enlargement of the tonsils
- and adenoids. As I've already said, these complications are very rare.
- Infectious mononucleosis is caused by an Epstein-Barr virus infection. The
- disease is usually transmitted in adolescents and young adults by the intimate
- exchange of saliva, which is why mono is often referred to as the "kissing
- disease." The first symptoms of mono include headache, sore throat, weakness,
- and mental and physical fatigue. Swollen eyelids are common.
- The symptoms may occur anywhere from one to three weeks after infection.
- Many mono sufferers initially think they have the flu, since the symptoms are
- very similar. Within a few days, however, victims begin suffering from
- painful swollen glands. The swelling may occur in the neck, armpits, and/or
- the groin. Although many of the physical symptoms may disappear, the
- weakness, fatigue, and overall lack of energy persist. What's actually
- occurring within the body is this: the Epstein-Barr virus has invaded the
- body's cells which are responsible for antibody formation and many of those
- cells are immortalized. Fortunately, other cells generally launch an
- immunologic counterattack.
- The primary battlefields for these attacks and counterattacks are the
- lymph organs, which include the tonsils, lymph nodes and spleen.
- Ten percent of patients develop jaundice. Five to fifteen percent may
- develop skin rashes. In rare cases, the heart, lungs, lower gastrointestinal
- tract or joints may become involved. One percent of patients may experience
- neurological complications. Most cases are not very dangerous, though, and no
- specific therapy exists.
- Rest is essential to recovery. Recent studies on Harvard students show
- that strict bed rest is not mandated in most cases. In fact, light to
- moderate activity seemed to quicken recovery rather than impede it.
- In general, it takes at least a month until mono sufferers can return to
- their normal daily activity. As far as medication goes, antibiotics don't
- help, because mono is a viral disease.
- Aspirin or an aspirin substitute is advised to relieve discomfort.
- Lozenges and salt water gargles can ease throat pain.
- During regular checkups, your doctor will carefully examine your son to
- monitor the size of the spleen. Blood tests will be taken that check on the
- function of the liver, and reveal how rapidly the patient is recovering. It's
- also a good time to get a general evaluation of the amount of activity that
- can safely be performed, and perhaps when school can start up again.
- I don't think you should be overly worried about your son. Just see that
- he takes the problem seriously and gets plenty of rest and checkups, and he
- should recover properly.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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-