Infectious mononucleosis (also known as glandular fever) is a viral disease caused by infection with Epstein-Barr virus. It mostly affects teenagers and young adults. The infection is usually spread through the saliva, often with kissing, sharing drink glasses, eating utensils, toothbrushes or other close contact. The time from infection to the appearance of symptoms ranges from 4 to 6 weeks. Glandular fever is diagnosed with a blood test. Symptoms include fever; sore throat; swollen lymph nodes; swollen spleen and liver; tiredness and generally feeling unwell. They usually last for between a few days to a few weeks. Symptoms tend to be worse in adults, with young children often showing no or few symptoms. Most people make a complete recovery, but the virus does remain in the body for the rest of life. People who have recovered and are now healthy can spread the virus intermittently for the rest of their lives. Consequently most people are infected during their lives.
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