INFECTIOUS MONONUCLEOSIS: acute self limiting infectious disease that is common among adolescents; symptoms include fever, exudative pharyngitis, lymphadenopathy, hepatosplenomegaly and an increase in atypical lymphocytes. The herpes like Epstein barr virus (EBV) is the principal cause of infectious mononucleosis. It is transmitted by saliva and by direct intimate contact. The onset of symptoms may be acute or insidious and may appear anywhere from 10 days to 6 weeks after exposure. The MONO SPOT TEST: is a slide test of venous blood that has a high specificity it is rapid sensitive, inexpensive.
Treatment: no specific, mild analgesic to relive headache fever and malaise. Rest is encouraged. No antibiotics. Acute symptoms disappear within 7-10 days.
Advise family to seek medical evaluation if breathing becomes difficult, severe abdominal pain develops, or if sore throat pain is so severe that the child is unable to drink liquids,