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| While mono is not usually considered a serious illness, it may have serious complications. It has been estimated that approximately 50% of students have had mono by the time they enroll in college. Signs & Symptoms Many times the symptoms are so mild that it is not recognized for what it is: The symptoms of mononucleosis may be the same as many other illnesses, such as "colds" or strep throat. For this reason, it is particularly difficult to diagnose in the early stages of the illness, although the diagnosis is usually based on symptoms and a physical exam. In approximately 20-30% of people with mononucleosis there is a concurrent bacterial throat infection. Any antibiotics prescribed may help with the sore throat, but not the EBV infection. Acetaminophen is preferable to aspirin for pain and fever relief because of the association of the EBV and Reye's syndrome in children. This explains its nickname of the "kissing disease". In addition, the virus can be transmitted in other ways, such as sipping from the same straw or glass as an infected person - or even being close when the person coughs or sneezes. |
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