Kissing Disease (Infectious Mononucleosis)

Infectious mononucleosis, also known as glandular fever or the "kissing disease," is a viral infection caused by the Epstein-Barr virus (EBV). It is a common illness that affects millions of people worldwide, particularly adolescents and young adults.

What is Kissing Disease?

Kissing disease is a contagious infection that spreads through saliva, mucus, and other bodily fluids. The virus can be transmitted through:

  • Kissing
  • Sharing food or drinks
  • Coughing or sneezing
  • Close contact with an infected person

Symptoms of Kissing Disease

The symptoms of infectious mononucleosis can vary from person to person, but common signs and symptoms include:

  • Fever
  • Swollen lymph nodes in the neck, armpits, and groin
  • Sore throat
  • White patches on the tonsils
  • Swollen tonsils
  • Enlarged spleen
  • Fatigue and weakness
  • Loss of appetite
  • Nausea and vomiting
  • Diarrhea or constipation
  • Muscle aches and joint pain
  • Rash (in some cases)

Treatments for Kissing Disease

While there is no cure for infectious mononucleosis, treatment focuses on relieving symptoms and supporting the body's immune system. Common treatments include:

  • Rest and relaxation to help the body recover
  • Pain relief medications, such as acetaminophen or ibuprofen, to reduce fever and alleviate headaches and muscle aches
  • Throat lozenges or sprays to soothe a sore throat
  • Antibiotics (in some cases) to treat secondary bacterial infections, such as strep throat
  • Corticosteroids (in severe cases) to reduce swelling and inflammation in the throat and tonsils
  • Adequate hydration to prevent dehydration
  • Nutritional support to maintain a healthy diet and prevent weight loss

Complications of Kissing Disease

In rare cases, infectious mononucleosis can lead to complications, such as:

  • Splenectomy (removal of the spleen) due to rupture or severe swelling
  • Respiratory problems, such as pneumonia or bronchitis
  • Neurological problems, such as meningitis or encephalitis
  • Anemia or low blood cell counts
  • Heart problems, such as myocarditis or pericarditis

Prevention of Kissing Disease

To reduce the risk of contracting infectious mononucleosis:

  • Avoid close contact with people who have the infection
  • Practice good hygiene, such as washing hands frequently and avoiding sharing food or drinks
  • Avoid kissing or sharing utensils with someone who has a sore throat or fever

Article last updated on: 11th April 2025.
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