10. Sore Throat and Tonsillitis: The Hallmark Distress of Mononucleosis
A sore throat is more than just a minor nuisance in the context of Infectious Mononucleosis; it is often one of the disease’s defining symptoms. For patients with Mononucleosis, a sore throat isn’t just sore; it is often intensely painful, persistent, and accompanied by severely swollen tonsils.
The Epstein-Barr Virus infects the cells in the throat and the immune system’s response to this infection leads to inflammation, causing a sore throat that is often more severe than that of the common cold or a streptococcal infection. It is not uncommon for this sore throat to be the initial reason that a patient seeks medical care.
Tonsillitis, or inflammation of the tonsils, is a frequent companion to the sore throat in Mononucleosis. The tonsils, often visibly red and swollen, may have a whitish coating or streaking due to pus. This can cause significant discomfort, interfere with swallowing, and may even affect breathing if the swelling is severe.
Treatment generally focuses on relieving the pain and reducing inflammation, often through over-the-counter pain relievers and anti-inflammatory drugs. But here, medical advice is key. It is important for patients to consult a healthcare provider before starting any medication, given the potential liver involvement in Mononucleosis. (10)
