Mononucleosis Disease is caused by the Epstein-Barr virus. it affects mostly adolescents and young adults, but it can also affect children. Mononucleosis usually manifests as a sore throat, fatigue, and a feeling of weakness throughout the body. The degree of fatigue can vary greatly from one person to another. Some of the hardest-hit people have to stop working for a few weeks. It is also called Kiss disease because most of the time the virus is transmitted through saliva. However, kisses are far from always involved and sick people generally do not know how they caught the disease.
Mononucleosis often goes unnoticed: a little fatigue, a mild fever that disappears spontaneously. Discover the causes of this disease.
In adolescents and adults, mononucleosis is much more virulent: great fatigue, fever, intense sore throat, inflammation of the lymph nodes. Patients lose their appetite, have headaches, and ache throughout the body. Confusion with tonsillitis is common: the use of ampicillin (penicillin) can lead to urticaria. The spleen and, more rarely, the liver may become hypertrophied. In severe cases, jaundice is observed.
Symptoms generally disappear within a week or two. It sometimes happens that the cure takes several months: light fever, loss of appetite, and fatigue persist weeks after the disappearance of the other symptoms.
After its introduction into the body, the virus first proliferates in the mouth. He then goes to the ganglia and blood. It takes 4 to 6 weeks between the time the virus enters the body and the onset of symptoms: it is the incubation period. Acute symptoms last from 2 to 3 weeks. A state of fatigue may persist for a few months. Then, the virus remains “hidden” in the immune system without causing symptoms.
Although it induces the proliferation of certain blood cells, mononucleosis is a benign disease. Complications are rare, but can still be very serious. The most serious complication is the rupture of the spleen ( a small organ located in the left part of the abdomen and which plays a role in the purification of the blood).
Infection can cause swelling of the spleen (splenomegaly). This can then break off spontaneously or after a shock, even slight. This rarely occurs (0.5% to 1% of cases) 2, but the risk is real. This is why demanding sports and contact sports are contraindicated for people with mononucleosis. When the spleen is swollen, acute pain localized at the top and left of the abdomen is felt. This situation requires emergency treatment. Spleen rupture causes bleeding in the abdominal cavity and pain throughout the abdomen. It can be fatal and surgery is necessary. In some cases, the virus induces a significant increase in the volume of the tonsils, which can obstruct the respiratory tract and cause severe breathing difficulties (respiratory distress).
The liver, nervous system, and red blood cells may also be the target of complications (hepatitis, jaundice, encephalitis, meningitis, hemolytic anemia, etc.).
Important: In the case of acute pain localized to the top and left of the abdomen, consult a doctor without delay. This could mean that the spleen is swollen and susceptible to rupture.
There is no way to prevent infectious mononucleosis. There is also no vaccine against the Epstein-Barr virus.
Individuals whose health is very fragile and who have never had mononucleosis have an interest in adopting various measures when dealing with people with mononucleosis or who have had it in previous months.
To avoid contagion:
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