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Infectious mononucleosis and its cure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   My niece is 33 and just found out she has Mono again...second time getting it (first time was 10 years ago). She is very ill with it. She has a severe ear, nose and throat infection with it. One of her ears is bleeding. Her doctor put her on antibiotics and ordered her off work for at least 3 weeks. She is so weak she can hardly get off the couch. Her doctor told her she has a very elevated white cell count and that she has a very poor immune system. I mailed her some good probiotics so she doesn't get a yeast over-growth from the antibiotics. I've read on the internet that getting Mono twice increases your risk for lymphoma. Is this true? If I go help take care of her, can I get it?
Doctor :   HI
Doctor :   dR here
Doctor :   let me read your query , please give me a few minutes
User :   Hi...okay
Doctor :   Usually individuals with a lowered immunity can get more infections including viral infections such as Infectious mononucleosis (caused by EBV)
Doctor :   The same virus is sometimes associated with lymphoid tissue tumors (lymphomas)
Doctor :   To prevent IM, (or mono), a person needs to have a strong immunity, which can be built with good nutrition, vitamin B supplements, physical activity
User :   should she be tested for lyphoma in the future? Can you have enlarged lymph nodes with Mono?
Doctor :   yes
Doctor :   since mono is spread from person to person, avoiding close personal contact with infected individuals and practicing excellent hygienic practices can help prevent transmission of the virus
User :   she is taking vitamin B with her multivitamines. She is trying now to get pregnant and is on prenatal vitamines. Should she stop trying to get pregnant while she has this severe outbreak of mono?
Doctor :   However, since periodic reactivations of the virus infection seem to occur in healthy individuals and sometimes they remain asymptomatic the condition is not recognised and prevention is extremely difficult.
Doctor :   the infection does not cause any issues with preganancy, but she will become weak due to the illness
Doctor :   hence postponing conception for a few weeks would be better
User :   So...maybe family should stay away for a couple weeks until the worst passes for her? Her husband travels for business and will be home in a few days to care for her.
Doctor :   that would be fine
Doctor :   chances of lymphomas occur in people whose immune systems have been compromised due to disease or immune suppressive drugs
Doctor :   most normal individuals are not at actual risk of lymphoma
User :   Does this second outbreak of mono increase her chances for lymphoma now?
Doctor :   no
Doctor :   if she recovers well and does not have other medical conditions there is no need to worry at all
Doctor :   she will be just fine
User :   okay...I guess that's all the questions I have. Thank you for your help today.
Doctor :   you are welcome
Doctor :   thanks for consulting me here
Doctor :   take care and have a good day
User :   bye
Doctor :   bye for now
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