Doctor insights on:
Mono Infectious Mononucleosis
Can infectious mononucleosis (mono test negative- but antibodies positive- I had it in the past) be the reason for increased TSH? is T4 necessary?
Mononucleosis is a viral disease caused by EB Epstein Barr virus. It can last 10-14 days even up to weeks and become chronic on occasion. A mono assay test can reveal if present and on an CBC can see nucleated or atypical lymphocytes. Sore throat, fatigue, fevers are the main symptoms. Treatment remains bedrest, fluids and Advil 400 mg po q 6 hrs until no symptoms occur. Reg ...Read more
I recovered from Mono about 8/9 months ago. What is the likelihood of me still being infectious?
Minimal but possible: The primary infectious period lasts a few weeks in most, a few months in a few. However, the primary cause is a viruses that can hibernate in your system for years and shed intermittently. It usually doesn't matter because most adults had the illness when younger and retain immunity. ...Read moreSee 1 more doctor answer
Yes: It is possible to catch it again. It does weaken the immune system, however the weakness can last anywhere between a couple weeks to a couple months. You will feel tired and weak. ...Read more
My friend got mono and she keeps on relapsing, her symptoms come back and she becomes infectious again. Is this normal? Will this keep happening?
Unusual.: It is unusual for a person with mono to get completely better and then sick again with the same EBV virus. Your friend should see her doctor and determine what is going on. Unfortunately we can't provide any more information on this forum. It is great that you are concerned for your friend, though. ...Read moreSee 1 more doctor answer
Blood test just confirmed that the mono virus has reactivated in my body. What do I do now? And am i contagious?
Probably not: The monovirus (ebv) can remain in blood cells from which it can reactivate. This is detected by testing ebv dna or "viral load" in the blood and blood cells. In patients with some immune problems this can lead to problems. Otherwise, the body should control the reactivation and it should remain in the blood (and not in your nose/throat) and you are unlikely to be contageous. ...Read more
18yo with mono w complications. In hospital x1wk. Out of hospital x1wk and wants to travel and visit relatives for holiday. Advisable? Contagious?
Maybe: Consider the most contagious period to be the first three weeks after symptoms start, with less for the first 3 months,then intermittently for years.Most adults are not susceptible having had it as kids. Travel plans should best be reviewed with the treating doc, who has more specific information. ...Read moreSee 1 more doctor answer
Yes, it can be.: If you have mononucleosis the fever usually resolves within about 10 days. Swelling of lymph nodes & organs usually resolves within about a month. You may have fatigue from several weeks to several months. You may be contagious for several months (even if asymptomatic). ...Read more
Complicated: Probably not infectious during the 4-7 week of incubation of the virus in your system because you are in the process of becoming infected with the virus. It has not yet taken hold of your system . After that, it can surface with symptoms or no symptoms at all and you can pass it on to others in your saliva. ...Read more
Mononucleosis: Mononucleosis is a viral infection (EBV) that can cause extreme fatigue, sore throat, cough, abdominal pains, headaches, swollen lymph nodes and other symptoms. Spleen enlargement is an uncommon but serious possibility. EBV is a lifelong infection, but usually remains silent. Viral shedding is at it's peak just before symptoms start and until fever resolves and you are not feeling as ill. ...Read more
Depends: Most adult mono patients will shed virus in their saliva for 2-3 weeks and some longer. The virus can live for some time on surfaces outside the body.The role of any airborne material is unknown but likely minimal. If the contact with the person is social but not intimate, and routine hand washing is practiced, I see no reason to isolate this person. ...Read moreSee 1 more doctor answer
Sometimes: The most infectious period of mononucleosis is within the first few weeks of the illness. As you feel better and your antibodies rise against the epstein barr virus (ebv), you become less contagious. However, ebv remains in the body for life. At times the virus may be shed when you are well and at times it can be passed on with a recurrence of illness. The contagious period is indefinite. ...Read more
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