Glandular fever is the activation of the Epstein-Barr virus, a common herpes virus. Infection can occur at any age, but Epstein-Barr is best known for causing infectious mononucleosis in adolescents and young adults. While contagion is a concern, the persistence of symptoms---sometimes for months---is its primary drawback.
Diagnosis is made by evaluating physical signs, which can be confused with those of a cold or sore throat, and performing a blood test, if necessary. Vague fever and headaches affect some patients and not others. Transmission usually occurs person to person, through saliva, which is why glandular fever is often called kissing disease. The virus can be contracted through contact with saliva on eating and drinking utensils as well.
Fatigue
One of the main indicators of glandular fever is heavy fatigue. If your teen complains of being tired even though she is getting plenty of sleep, pay attention to fatigue as a possible symptom of a health problem. Body fatigue that arises in the absence of activity or strain is another possible indicator.
Sore Throat
A painful sore throat, sometimes accompanied by inflamed tonsils, is the second major symptom of infectious mononucleosis. A sore throat that doesn't respond to antibiotics or dissipate in a few days may be a sign of Epstein-Barr infection. Over time, the sore throat may lead to loss of appetite because it is uncomfortable to swallow.
Swollen Lymph Glands
Inflammation and swelling of the throat and tonsils indicate that the lymphatic system is fighting off a virus Your child may experience enlarged lymph glands on either side of the neck. Swollen glands and other symptoms of infectious mononucleosis may go on for two to eight weeks, with lesser signs fading first.
