For example, in Africa most individuals have been infected by age 3 years, an age at which there are very few symptoms. EBV infection may be associated with some types of malignancy . There may be a skin rash present. Laboratory findings often include such characteristic findings as atypical lymphocytes, unusual appearing white blood cells which are seen when the blood is examined under a microscope and may persist for 2 to 8 weeks. Abnormalities of liver function are also characteristic.
Rest is needed, sometimes for a month or longer.
Relieve pain and fever with analgesics , and use warm salt water gargles for sore throat . A high protein , decreased fat diet and vitamin supplements may be recommended. Fever usually abates in 10 days, and swollen lymph glands and spleen heal in 4 weeks. Fatigue may linger for 2 to 3 months. This could indicate a ruptured spleen, which requires emergency surgery.