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Updated: Apr 1, 2026

Separation of Immune Cell Subpopulations in Peripheral Blood Samples from Children with Infectious Mononucleosis
Published on: September 7, 2022
Infectious Mononucleosis
Samantha K Dunmire1, Kristin A Hogquist2, Henry H Balfour3
1Center for Immunology, University of Minnesota, Minneapolis, MN, 55455, USA. dunmi002@umn.edu.
Abstract:
Infectious mononucleosis is a clinical entity characterized by sore throat, cervical lymph node enlargement, fatigue, and fever most often seen in adolescents and young adults and lasting several weeks. It can be caused by a number of pathogens, but this chapter only discusses infectious mononucleosis due to primary Epstein-Barr virus (EBV) infection. EBV is a γ-herpesvirus that infects at least 90% of the population worldwide. The virus is spread by intimate oral contact among teenagers and young adults. How preadolescents acquire the virus is not known. A typical clinical picture with a positive heterophile test is usually sufficient to make the diagnosis, but heterophile antibodies are not specific and do not develop in some patients. EBV-specific antibody profiles are the best choice for staging EBV infection. In addition to causing acute illness, there can also be long-term consequences as the result of acquisition of the virus. Several EBV-related illnesses occur including certain cancers and autoimmune diseases, as well as complications of primary immunodeficiency in persons with the certain genetic mutations. A major obstacle to understanding these sequelae has been the lack of an efficient animal model for EBV infection, although progress in primate and mouse models has recently been made. Key future challenges are to develop protective vaccines and effective treatment regimens.
Insights
Infectious mononucleosis, often caused by Epstein-Barr virus (EBV), presents with fatigue and fever. EBV infection can lead to long-term health issues, necessitating vaccine and treatment development.
Area of Science:
- Virology
- Immunology
- Infectious Diseases
Background:
- Infectious mononucleosis is a common illness, primarily affecting adolescents and young adults, characterized by symptoms like sore throat, fatigue, and fever.
- While multiple pathogens can cause infectious mononucleosis, this discussion focuses on Epstein-Barr virus (EBV), a ubiquitous γ-herpesvirus infecting over 90% of the global population.
- EBV transmission typically occurs through oral contact in teenagers and young adults, with transmission routes in preadolescents remaining unclear.
Purpose of the Study:
- To provide a comprehensive overview of infectious mononucleosis caused by Epstein-Barr virus (EBV).
- To discuss diagnostic approaches, including heterophile tests and EBV-specific antibody profiles for staging infection.
- To highlight the potential long-term health consequences and EBV-related illnesses, such as cancers and autoimmune diseases.
Main Methods:
- Review of clinical presentation and diagnostic criteria for infectious mononucleosis.
- Discussion of Epstein-Barr virus (EBV) epidemiology, transmission, and serological diagnostic methods.
- Examination of EBV-related sequelae, including cancers and autoimmune conditions, and challenges in animal modeling.
Main Results:
- Infectious mononucleosis diagnosis is often based on clinical symptoms and heterophile antibody tests, though EBV-specific antibodies offer better staging.
- EBV infection is widespread, with potential for long-term health implications beyond the acute illness.
- Progress in developing animal models for EBV infection has been made, though challenges remain.
Conclusions:
- Accurate diagnosis and staging of EBV infection are crucial for understanding its impact.
- Long-term consequences of EBV, including cancers and autoimmune diseases, underscore the need for further research.
- Development of effective vaccines and treatments for EBV remains a critical future challenge.
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