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Family Medicine (Expert Forum)
Mononucleosis -
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
Mononucleosis -
by Aly87, Jan 23, 2006 12:00AM
My daughter (a year round competitive swimmer) tested positive for Mononucleosis a year ago. Her only symptom was extreme fatique for a month or so. Recently my daughter (in college and still swimming) developed a very painful sore throat (swollen tonsil)and low grade fever. She had 2 mono tests (positive result) and the virus is active once more. Is it common for a person to relapse with mono, and could it keep reoccuring? Thanks!
Doctor's Answer
by Kevin Pho, MD, Jan 24, 2006 12:00AM
, Jan 24, 2006 12:00AM
Reinfection with mono is possible, and possibly occurs with an increased incidence in those with prior infections.
One thing to consider would be that the monospot test may remain positive for up to 1 year. Because of this possibility, you may want to consider more specific testing for the Epstein-Barr virus. This can be done by measuring the EBV antibodies.
Treatment for mono continues to be supportive. However, if this is truly a case of relapse, or chronic mono, a referral to an infectious disease specialist can be considered.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
One thing to consider would be that the monospot test may remain positive for up to 1 year. Because of this possibility, you may want to consider more specific testing for the Epstein-Barr virus. This can be done by measuring the EBV antibodies.
Treatment for mono continues to be supportive. However, if this is truly a case of relapse, or chronic mono, a referral to an infectious disease specialist can be considered.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments
by Tula, Apr 21, 2006 12:00AM
hi hope this helps my daughters both tested positive for mono about 3 years ago. they did another test later on and they tested positive for a titter not sure how to spell. which is called ebstein bar. and offshoot of mono. they have both struggled ever since. they tire real easy and they say it can lead into chornic fatigue syndrome. whenever they feel the symptoms they listen to there bodys and get alot of rest and drink plenty of fluids. as they say with mono u have to treat the symptoms and listen to what your body is telling you. good luck
by Panicattackjack, May 05, 2006 12:00AM
Hello i'm new just tested positive for mono but i have no sore throat i think i may get tested for ebv not sure much about it is this bad. Thank you
by Sue5377, Jun 10, 2009 08:09PM
A related discussion, Mono in older people was started.
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