Topics: Fatigue, Epidemiology, Herpesviridae Pages: 3 (1446 words) Published: October 30, 2014

Mononucleosis: The Kissing Disease
Grand Canyon University: NRS-427V Concepts in Community and Public Health September 25, 2014
Since the 1800’s, Infectious Mononucleosis(IM) has been recognized as a clinical syndrome of pharyngitis, fever, and adenopathy. (Boe, 26) It wasn’t until the 1960’s that the association was discovered between infectious mononucleosis and the Epstein-Barr Virus (EBV). Infectious Mononucleosis is also named for the two researches who described the syndrome as infectious: Filatov Disease in 1887 and later Pfeiffer’s Disease in 1889. This disease is easily transmitted among young adults, usually oral and is often called the “kissing disease”.(Boe 26) The Epstein-Barr virus is a member of the Herpes family which is highly contagious and has most likely infected almost everyone at some point in their life. Although EBV often has no symptoms, it can cause mononucleosis. The classic symptoms are very basic, many like the common cold: sore throat, fatigue, pharyngeal inflammation, vomiting, loss of appetite and petechial rash. Infectious mononucleosis occurs with EBV which commonly spreads through saliva. It has an incubation period of four to seven weeks, making it difficult to ascertain date of infection, symptoms can last for two to three weeks, with feelings of fatigue lasting longer. The most common diagnostic criteria for diagnosis is the presence of 50% or more of lymphocytes with at least 10% atypical lymphocytes in a serum blood test. “The atypical lymphocytes resembled monocytes when they were first discovered, and thereafter the term mononucleosis, was used” (Boe, 26) When considering care for specific patient populations like adolescents and young adults it is important to obtain an in-depth sexual history.(Saccomono, 46) These age-groups are considered at high risk for sexually transmitted diseases. With adults and the elderly population epidemiology does not support the likelihood of IM. Adults older than 40...

References: Boe, G. P. (2013). Infectious Mononucleosis: A Brief Review. Journal Of Continuing Education Topics & Issues, 15(1), 26-28.
Saccomano, S. J., & Ferrara, L. R. (2013). Infectious Mononucleosis. Clinician Reviews, 23(6), 42-49.
Thaddaus Hellwig, PharmD, Kaitlyn Jude, PharmD candidate, Brittney Meyer, PharmD, US Pharmacist. 2013;38(5):38-41. © 2013 Jobson Publishing
www.CDC.govMaurer, F. A., & Smith, C. M. (2013). COMMUITY/PUBLIC HEALTH NURSING PRACTICE Health for Families and Populations 5th ed. St. Louis: Elsevier Saunders, chap 8(204-205)
Singer-Leshinsky, S. (2012). Pathogenesis, diagnostic testing, and management of mononucleosis. JAAPA: Journal Of The American Academy Of Physician Assistants (Haymarket Media, Inc.), 25(5), 58-63.
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