Diagnosis and management of glandular fever in primary care

Glandular fever (also known as infectious mononucleosis) is an infectious disease caused by the Epstein-Barr virus which is a member of the herpes group of viruses.Although like many other diseases, the condition can occur at any age, it is most frequently seen in those aged between 15-24 years of age, with statistics suggesting that a GP practice with a list size of 10,000 patients may expect to see seven cases of glandular fever each year.¹ This article will describe the case of a young male, his presentation, diagnosis, and treatment and will include information relating to a complication found at diagnosis. It is hoped that the article will give practice nurses and nurse prescribers increased knowledge and confidence in the recognition and management of this disease.