Commonly referred to as the "kissing disease," this condition which is characterised by fatigue, fever, and swollen glands, isn't merely about those awkward moments shared between teenagers but a genuine health issue that impacts many, particularly young adults and university students, where close contact is frequent.

What is glandular fever?

Glandular fever, scientifically termed infectious mononucleosis, stems from the Epstein-Barr virus (EBV)—a ubiquitous virus that most people will encounter at some point in their lives. The virus spreads predominantly through saliva, which explains the nickname it's earned. It could be sharing drinks, food, or even giving someone a quick peck, it can serve as a transfer point for the virus. Symptoms unleashed by this viral invasion include severe fatigue, high fever, a painfully sore throat, swollen lymph nodes, and an enlarged spleen. 

Is glandular fever contagious?

Yes, glandular fever is quite contagious. It is not as easily spread as the common cold. The primary avenue for its transmission is through direct contact with the saliva of someone infectious. Imagine you're at a party and you share a soda with someone, and this is where EBV might hitch a ride through that shared drink and spread from person to person.

How do you catch glandular fever?

Glandular fever is nicknamed the "kissing disease" for a reason. It spreads mainly through contact with infected saliva—sharing drinks, food, or even lip balm can open the door for the virus. Respiratory droplets from a cough or sneeze can also help it hitch a ride to its next host. Though it primarily affects young adults, anyone in close contact can catch it. Keep things safe by avoiding shared personal items and practising good hygiene to lower your risk.

Can you be around someone with glandular fever?

You can certainly be around someone with glandular fever, but it's wise to take certain precautions. Since the virus isn't airborne, you don’t need to distance yourself as you might with the flu. However, it's best to avoid direct contact with the infected person's saliva. So, refrain from sharing eating utensils, drinking glasses, or personal items like lip balm. You can think of it as setting boundaries.

How long is it contagious with glandular fever?

EBV can linger in a person's saliva for several weeks or even months before they show any symptoms, and it can remain contagious for a considerable time even after they’ve started to feel better. 

Does glandular fever require isolation?

Typically, isolation isn't necessary for someone with glandular fever, mainly because it requires such close contact for transmission. Most people continue their daily routines but should focus on getting plenty of rest, staying hydrated, and avoiding strenuous activities to protect their swollen spleen and aid in recovery. It's more about slowing down and taking care of yourself than completely withdrawing from your social life.

Is glandular fever contagious through the air?

The good news here is that glandular fever is not airborne. You cannot catch it just by breathing the same air as someone infected. Transmission requires much closer contact, specifically involving saliva. This means you can still attend classes, go to work, or sit in a cafe without fear of catching the virus from the air. 

What is the difference between tonsillitis and glandular fever?

Glandular fever and tonsillitis might sound very similar to those swollen glands and a sore throat. But tonsillitis usually stays local, mainly affecting the tonsils because of viruses, or bacteria like streptococcus. It makes swallowing feel like trying to eat sandpaper and can also be associated with a fever. If bacteria are the culprit, antibiotics are your golden ticket; but if it's a viral case, you'll simply need rest and conservative treatment to get back on your feet. Glandular fever, however, is a different story as it plays a long game. It's a systemic illness that doesn’t just stop at your throat. When the Epstein-Barr virus (EBV) takes hold, your lymph nodes and spleen swell up, and fatigue lingers for weeks or even months. Unlike tonsillitis, where you might feel better after a few days of medications and conservative treatments, glandular fever can leave you exhausted for a long time. The key is managing those symptoms as best as possible because there’s no easy way to fight off the virus itself.

Can you get a rash from glandular fever?

Yes, a rash can crop up, but it’s not always the case. Some people develop a blotchy, pink rash that’s often mistaken for measles, especially if they’ve been prescribed antibiotics like amoxicillin before a diagnosis. These antibiotics can trigger a rash if glandular fever is already in the picture. But even without antibiotics, the EBV infection itself can sometimes cause a rash. It usually isn’t itchy or painful and often disappears after a few days.

How long does glandular fever last?

The fatigue from glandular fever can last quite long. While some people feel better in 2-4 weeks, for others, it can take months to fully recover, especially if that deep exhaustion lingers. During this time, rest up and ease back into your daily routine. And if that post-viral fatigue won’t subside, it’s worth having a chat with your doctor as they might have some other suggestions to help you pace yourself and keep your energy levels steady.

Can you get glandular fever twice?

It’s not common, but you can technically get glandular fever twice. After your first bout with EBV, the virus sticks around in your body, usually lying low while your immune system keeps it on a short leash. But if your immune system takes a hit (stress, other illnesses, etc.), the virus could rear its head again with symptoms very similar to the first episode. Reactivation isn’t common, but it's possible, particularly if your immune system is compromised. If it feels like déjà vu, your doctor can run some tests to confirm whether glandular fever is back for the second time around.

Glandular fever treatment

Dealing with glandular fever isn’t a quick fix; think more of a marathon than a sprint. Since it's a viral infection, antibiotics won’t be effective unless there’s a secondary bacterial issue. Instead, you'll need to rely on conservative measures: rest, hydration (water or herbal tea are your best bets), and some over-the-counter medications like paracetamol or ibuprofen to handle the fever and sore throat. Doctors will also likely suggest skipping contact sports or heavy lifting for a while because an enlarged spleen is more prone to rupture. No magic bullet will cure it, but a warm saltwater gargle or soothing lozenge can help ease the throat pain. Every little bit counts.

Despite the somewhat daunting nickname and the severe symptoms it can manifest, glandular fever is generally manageable with careful personal health management and a bit of social discretion. Remember, while it’s fine to socialise with someone who has a glandular fever, maintaining personal hygiene and being mindful of your interactions, like sharing food or drinks, is crucial. If you suspect you have glandular fever, a trip to your healthcare provider is prudent—they can help confirm the diagnosis and guide you through recovery.

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Disclaimer

This content is created for informational purposes only. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000.