Infectious mononucleosisBernice Clark ▼ | Thursday August 7, 2008 1:00AM ET
Mononucleosis has spontaneously benign progress characterized by well defined clinic picture (fever, sore throat, enlarged lymph nodes, diffuse enlarged spleen). It is often called the kissing disease because it transmits through saliva, but you can be infected by sharing a food or a glass, by touching body parts or objects sodden by infected saliva, or if you have been exposed to virus by sneezing of coughing.
Incubation period is not exactly defined, it lasts usually 5 to 15 days. The beginning of mononucleosis infection don't has special characteristic in the start. It can be sudden or start gradually. The first symptoms are simple: muscle weakness, increased fever, headache and possibly bleeding from a nose. Mucosa and skin rash may also be the symptoms. Mucosa rash is visible between the third and fourteenth day and it lasts one to five days. Skin rash is present in smaller number of cases (3-12 percent) and it looks like German measles.
The first symptoms that appear four to eight weeks after infection are weakness, loss of appetite and chill that precede the beginning of the sore throat, fever and enlarged lymph nodes. Heavy throat infection usually forces patient to seek for medical help. Occasionally, you can feel only fever or enlarged lymph nodes or just one of the complications. Sore throat is intensive five to seven days and abates in the next seven to ten days. Increased temperature usually lasts seven to fourteen days, but it can last longer. Lymph nodes downsize more often during three weeks. Fatigue is the most steadfast symptom.
Majority of the patients feel good enough to go back to school or work after three to four weeks, but some patients can feel exhaustion and concentration disorder for months. Those are usually patients in which the disease started mildly without heavy type of throat inflammation and high fiver. Young children usually have few symptoms, and the infection often goes unrecognized.
The complications from infectious mononucleosis are rare, but they can be very dramatic and dominant manifestation of the disease. Those are hepatitis, heart abnormality, spleen blowout, brain inflammation and respiratory pathways obstruction. However, in more than 90 percent of the cases the disease has benign flow. It is hard to say when the patient is not contagious anymore, but after eight weeks since the start of the first symptoms the possibility of virus transmission is very small. The virus stays forever in the host. In the first eighteen months the virus is excreted by saliva and occasionally after that period, too.
There are no particular drugs against mononucleosis agents. The patients must rest and drink higher amounts of liquid during fiver. The patients should avoid sport activities during six to eight weeks because of rare complications such as spleen blowout.
Infectious mononucleosis demands diet nutrition to protect your liver, provide its full recovery and proper functioning. The food must be taken in several small portions. Avoid fat in any shape, especially pork meat. Food with a lot of proteins are particularly valuable. Sweet food is also recommend. Eat all kinds of low fat soups with boiled pasta or rice. You may eat veal meat, white fish, low fat baby beef, fowl, all kinds of low fat cheeses and milk.
You can also eat white bread but let it not be fresh, biscuits, all kinds of pasta, rice, pasta with jam, cheese and sugar. Carrots, potato, red beet, young gourds, cauliflower, spinach and chard can be taken boiled or raw. You can also eat fruits such as bananas, boiled or baked apples, apricots, pears and citrus fruits. Fruit juices, tea and various stewed fruit are also recommended. ■