Glandular fever

• What is the usual cause of glandular fever?

  Epstein-Barr virus
• What are the alternative names for glandular fever?

  Infectious mononucleosis, mono, kissing disease
• How is glandular fever primarily transmitted?

  Through direct contact with saliva
• In what situations can glandular fever be transmitted besides kissing?

  Sharing cutlery and sexual contact
• What is the incubation period for glandular fever?

  4 to 7 weeks
• When is a person with glandular fever considered infectious?

  During the incubation period and while symptomatic
• How long does glandular fever typically last?

  2 to 4 weeks
• What happens to the Epstein-Barr virus after the initial infection?

  It remains latent and can reactivate throughout life
• In which age group is glandular fever most common?

  15 to 24 year olds
• Is glandular fever common in children under 1 year old?

  No, it is rare
• What are common symptoms of glandular fever?

  Fever, muscle aches, headaches, malaise, severe sore throat
• What might indicate glandular fever if tonsillitis is present?

  Severe and prolonged symptoms
• What abdominal symptom may occur with glandular fever?

  Mild pain due to an enlarged spleen
• What is a common post-viral complication of glandular fever?

  Malaise or post-viral fatigue
• What complication can occur due to an enlarged spleen after glandular fever?

  Increased risk of spleen damage, avoiding contact sports for 8 weeks
• What physical signs may indicate glandular fever?

  Swollen glands in the neck and puffy swelling around the eyes
• What mild liver complication can occur with glandular fever?

  Mild hepatitis, indicated by jaundice
• What neurological complications can arise from glandular fever?

  Guillain-Barre syndrome and Bell’s palsy
• What are the red-flag symptoms that require referral in glandular fever?

  Symptoms that indicate severe complications
• What is the management approach for glandular fever?

  Symptomatic treatment, as there is no cure
• What should a patient do if they suspect glandular fever?


  Contact their GP for testing for EBV
• What is the treatment for mild symptoms of glandular fever?

  No treatment required
• What medications can be used to relieve fever and aches in glandular fever?

  Paracetamol and ibuprofen
• What practical measures should be taken to avoid spreading glandular fever?

  • Wash hands often with soap and warm water
  • Wash bedding and clothing that has saliva on it
  • Do not share cutlery, cups, towels, clothes, or bedding
  • Avoid kissing
  • Stay hydrated and rest
  • Avoid alcohol until recovery
  • Stay away from nursery/school/work until feeling better
  • Avoid contact with immunocompromised individuals, pregnant women, or infants
• What are the main complications of glandular fever?


  1. Malaise (post-viral fatigue)
  2. Spleen complications (enlargement and risk of rupture)
  3. Hepatic issues (mild hepatitis)
  4. Neurological complications (Guillain-Barré syndrome, Bell's palsy)
  5. Red-flag symptoms requiring immediate medical attention