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Treatment


Almost certainly a sufferer will be given anantibiotic in the belief that they have tonsillitis. The diagnosis becomes suspected if there is no response to standard penicillin antibiotics and if the illness is longer or the person is iller than would be expected withordinary tonsillitis. A blood test called a Paul-Bunnell establishes the diagnosis in most cases together with a characteristic blood picture. A short course of steroid tablets will relieve the discomfort and the general malaise which accompany the illness but otherwise there is no specific treatment; it may take two to three weeks forthe illness to settle down.Despite its reputation complicationsin glandular fever are relatively unusual. Although traditionally it is associated with feeling tired for weeks afterwards research suggests that this doesnot happen more often than would be expectedin any other viral illness.
Because of its effects on the liver it is sensible to avoid alcohol and alsoto avoid contact sports,because glandular fever may also make the spleen enlarged and more liable to rupture during trauma. For the great majority of peopleglandular fever is but a nuisance that is over and forgotten within two to three weeks.


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