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[|Human|] Hi I am a 24 year old female who is generally healthy. For the past 3 months my cervical and sub-mandibular lymph nodes have been swollen. I was diagnosed with mono and am just starting to feel a little bit of my energy return. I have noticed though that even though I am past the recommended window to abstain from alcohol if I have even one glass of wine my lymph node swelling increases and my whole body will ache the next day as if its bruised. I am wondering if this could still be being caused by the epstein barr or if its more suggestive of lymphoma?
[|AI|]  HI, thanks for using Chat Doctor The lymph nodes would have likely increased in size due to the mono. Enlargement of lymph nodes is one of the common findings in this condition. In many cases, the enlargement would last up to 6 weeks. Though lymphoma is a known complication of Epstein Barr, it does not occur so acutely after the initial infection, so this is not likely. It may be best to revisit your doctor for an assessment. He or she may consider taking a complete blood count to determine if there is any lingering infection requiring treatment. I hope this helps