Talk:Infectious mononucleosis

Strep throat.

Strep throat is another differential.

If pt. has both, it complicates treatment, antibiotics may be indicated, but "Patients with EBV infectious mononucleosis who have positive throat cultures for group A streptococci should not be treated because this represents colonization rather than infection (see Workup)." http://emedicine.medscape.com/article/222040-medication

Disease rate

Article says that "About 45 out of 100,000 people develop mono each year in the United States" and that "Nearly 95% of people have been infected by the time they are adults." These two rates don't make sense, 95% by adulthood is over 5,000 per 100,000 each year. — Preceding unsigned comment added by 121.99.106.142 (talk) 07:01, 27 August 2017 (UTC)

Changed the wording a bit. The 45/100k is for infectious mono while the 95% covers all degrees of EBV infection.--☾Loriendrew☽ ☏(ring-ring) 20:52, 5 September 2017 (UTC)

About 45 out of 100,000 people develop mono as a disease, meaning they are symptomatic and seek medical care. The fact that 95% of people have been infected with mono by the time they are adults was a complete surprise when this was first discovered (based on testing of all pregnant women in one study, with the assumption that prevalence of women is similar to men). This led to the conclusion that the vast majority of infection with the virus that causes mono (which is EBV) is asymptomatic. That is, most people catch the virus without getting sick but forever remaining immune to it afterwards, while a minority actually get sick from the virus. So this is how you can resolve the paradox of both the above facts.--Beezer137 (talk) 23:37, 30 July 2018 (UTC)

Lead

Often we structure the lead in the same order as the body of the text. Thus moved society and culture stuff and history to the 4th paragraph. Doc James (talk · contribs · email) 16:32, 10 April 2018 (UTC)

Glandular fever - Mono is an exclusive Americanism.

In the majority of the English-speaking world - and, for that matter, the rest of the world as well - this is colloquially known exclusively as glandular fever. The term Mono, and Mononucleosis, is exclusive to the United States, and to a lesser extent Canada, and is almost completely unknown outside of those countries. Shouldn't the page reflect this, rather than pretending the reverse is true? Khardankov (talk) 08:21, 20 April 2021 (UTC)

Immunity?

Do you, or most people, get immune for life, or for a period of time, once you've had the infection? Is it the same whether you've been symptomatic or not? Maybe the article answers those questions, but I haven't found the answers - and I think it should answer them.--Nø (talk) 08:47, 27 April 2022 (UTC) Talk:Infectious mononucleosis/GA1