Infectious mononucleosis in afya

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also called glandular fever
caused by Epstein-Barr virus (human herpesvirus 4) 
common in adolescents and young adults.

''Features''
    sore throat
    lymphadenopathy
    pyrexia
    malaise, anorexia, headache
    palatal petechiae
    splenomegaly - occurs in around 50% of patients and may rarely predispose to splenic rupture
    hepatitis
    presence of 50% lymphocytes with at least 10% atypical lymphocytes
    haemolytic anaemia secondary to cold agglutins (IgM)
    a maculopapular, pruritic rash develops in around 99% of patients who take ampicillin/amoxicillin whilst they have infectious mononucleosis

''Diagnosis''
    heterophil antibody test (Monospot test)

''Management'' - supportive
    rest during the early stages, drink plenty of fluid, avoid alcohol
    simple analgesia for any aches or pains
    consensus guidance in the UK is to avoid playing contact sports for 8 weeks after having glandular fever to reduce the risk of splenic rupture

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