EBV (mononucleosis)

Sites

  • Rarely brain
  • Oro-pharynx, lymph nodes, systemic

Risk Factors

  • Spread by direct contact→ kissing, shared drinking glasses, shared toothbrushes, etc

Symptoms

  • Incubation 4-6w
  • Prodrome 1-2w of fatigue, myalgias, arthralgias; then f, sore throat
  • Sometimes precipitates Guillain-Barre
  • Fatigue can sometimes persist for weeks/months
  • CMV can also cause mono, w/same presentation

Physical Exam Findings

  • Pharyngitis
  • Hepatomegaly
  • Splenomegaly
  • Maculo-pap rash after amox or other abx
  • Head/neck adenopathy

Tests

Links