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Conditions and Diseases > Mononucleosis Forum > Infective mononucleosis
Is mononucleosis bacterial or viral? Does everyone get mono at some time? How does mono spread? Basic facts and definitions about "the kissing disease". ...
Do you know what causes mono? Although children are more at risk than adults,what can you do to avoid getting sick from mono? Review risk factors here....
The symptoms of mono may not manifest for everyone who contracts the Epstein-Barr virus. But when are symptoms serious? And when should you seek medical help?...
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Q: Infective mononucleosis
asked by: DoctorQuestion on August 21st, 2009
hello, i was diagnosed with mono 5 days ago and ever since my urine has been very strange, at first it was dark orange, and now it is almost like highlighter yellow. we went to the doctor and he said that i has elevated bilireuben. is it jaundice or what? im so scared?


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Dr. Goce Aleksovski , MD
replied on August 24th, 2009
Mononucleosis Answer A7121


Infectious mononucleosis is an infective disease caused by the Epstein-Barr virus. The classic symptoms of infectious mononucleosis include: sore throat, fever, fatigue, weight loss, and malaise. Limphadenopathy (enlarged lymph nodes), splenomegaly (enlarged spleen) and hepatitis (inflammation of the liver) might be present as well.


Once the liver is affected, its cells do not work at their full capacity. They fail to perform one of their functions which is processing bilirubin from the blood, so it can be expelled in the intestines. Therefore, the bilirubin is accumulated in the blood, leading to yellowish color of the skin, more often known as jaundice. The yellowish color originates from the yellowish color of the bilirubin. This jaundice should not be mistaken with the one caused by viral hepatitis infection (Hepatitis A, B or C).


The treatment might include non-steroidal anti-inflammatory drugs to reduce the inflammation. Antibiotics are used only if there is co-infection with certain bacteria. Otherwise, the antibiotics are useless against viral agents and the mononucleosis should self-limit itself.


You might want to visit a specialist for infective diseases for additional information about jaundice related to mononucleosis.




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