Mono is usually spread by person-to-person contact with saliva as the primary method of transmission.

Infectious mononucleosis, also know as glandular, is mostly occur among teen-agers and young adults. The cause of this disease is still not definitely established. During the first few days the patient complains of fatigue, headache, chillness, and feelings of weakness. Later, the lymph nodes in the neck, under the arms, and in the groins become enlarged and tender. Then the patient develops a high fever and a sore throat, and may also complain of soreness in the abdomen on the left due to enlargement of the spleen. The tonsils may be enlarged, and there may be tenderness over the liver, similar to infectious hepatitis. In more severe cases there may also be pain over the heart, due probably to predicts. Virus pneumonia maybe another complication.

The diagnosis of infectious mononucleosis, or glandular fever, can only be established by having complete blood count and other tests. In this disease there is a marked increase in the white blood cells, and many abnormal lymphocytes are also seen. This disease usually continuous for a month or six weeks. It is serious, but rarely fatal.

Infectious Mononucleosis Treatment:

Keep the patient in bed, especially during the height of the fever. Give plenty of water and fruit juice. Some mild medication, such as aspirin, 5 grains every four hours, will help to lower the fever and keep the patient comfortable. Children need correspondingly smaller doses. If the temperature rises to 106° or 107°F., wrap the patient in a wet sheet and pack ice around him  until the fever comes down. Rinse the mouth frequently with some good gargle or antiseptic solutions. Sulfa tablets or penicillin are useful in treating tonsillitis and sore throat. Hot packs may be applied to the chest and spine. But care must be taken avoid heavy pressure over the abdomen, for this rapture an enlarged spleen. Keep the patient in bed for atleast three or four weeks. A sore throat maybe relieved by using a heating compress. Good nursing care is most important without in this disease. Most patient recover without any serious complications, provided they are willing to stay in bed until they are well.