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Mononucleosis: Infections
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While antibiotics do not affect EBV, the sore throat accompanying mononucleosis can be complicated by a streptococcal infection, which can be treated with antibiotics. Cortisone anti-inflammatory medications are ... occasionally prescribed for the treatment of severely swollen tonsils or throat tissues.
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Large epidemiologic studies performed in the 1970s revealed that acute infectious mononucleosis was 30 times more likely to occur in whites than in African Americans. However, this correlated with lower social economic status and earlier asymptomatic infection in African Americans and, therefore, did not reflect a true racial difference.
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Avoid contact with the saliva of someone who has mononucleosis or who recently had it. Keep children's toys clean and out of the mouths of others. Persons with a recent EBV infection should not donate blood.
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Several cohort studies have examined the long-term outcomes of infectious mononucleosis. Between 9 and 22 percent of patients reported persistent fatigue or hypersomnia six months after clinical infectious mononucleosis, compared with zero to 6 percent of patients following uncomplicated upper respiratory infection.
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