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Infectious mononucleosis, also known as glandular fever, can emerge as a result of infection with EBV, or herpes virus 4. However, symptoms can be less obvious in younger children and older adults, so additional testing may be needed.īlood tests can identify whether or not a person has had a recent or past infection with EBV. In a teenager or young adult with classic symptoms, a doctor can usually diagnose mono through a physical examination. Those with symptoms of a ruptured spleen should seek emergency care immediately.

shows signs of dehydration, such as not urinating.

has a temperature of 104° Fahrenheit or above.

Mono can resemble other illnesses, so people should contact a doctor if they have concerns about symptoms that may indicate mono. Many illnesses cause fever and sore throat, particularly colds, flu, and common viruses. Muscle aches may also be more common in this group, according to one older study. A fever with liver inflammation can make mono harder to spot in this age group. Adults may not experience the classic symptoms of a red throat and swollen lymph nodes. Older adultsĪ study from 2006 notes that mono is less common in adults aged over 40 years. If a child has mild mono symptoms, a parent may think this is a cold or flu, especially if fever and a sore throat are the main symptoms. The amount of virus spread from a parent’s past infection may be lower, causing fewer, milder symptoms in a child. One possiblity is that parents, as carriers, pass the virus on to their children when it reactivates and sheds. Young childrenĬhildren often do not have classic symptoms, or they may have mild symptoms that resemble those of a common cold or the flu. An adolescent with no previous exposure to the virus may be more vulnerable, as their immune system is less able to repel the attack.

In the United States, exposure to EBV is less common during infancy and young childhood. If kissing is a factor in spreading mono, it may be that the higher levels of saliva exchange lead to more severe symptoms.Īnother theory is that younger children gradually build up an immunity to the virus if exposure occurs from a lower age, as happens in some countries. Why symptoms affect teens and young adults more severely remains unclear. However, the tiredness can last for weeks or months after other symptoms have gone. Fever, sore throat, and other common symptoms may last for several days and then gradually get better.

Symptoms often last 2–4 weeks, but they can persist for longer. They also tend to have the most severe symptoms. People aged 15–24 years are most likely to develop the classic symptoms of mono. However, the symptoms vary widely between different age groups. swollen glands in the neck or underarms.Share on Pinterest Image credit: solidcolours/istock.