Acute infectious mononucleosis, also known as glandular fever, is an acute illness due to Epstein-Barr virus infection. It is characterised by fever, tonsilar ...SkiptomaincontentCLIKMenuLegislationLegislationServiceEligibilityAssistantCompensation&SupportCompensation&SupportCompensation&SupportPolicyLibraryCompensation&SupportPolicyLibraryKeywordIndexCompensation&SupportReferenceLibraryRehabilitationRehabilitationRehabilitationPolicyLibraryKeywordIndexMilitaryCompensationMilitaryCompensationMRCAInfoSRCAInfoHealthHealthHealthPolicyLibrarySOPInformationReports&StudiesGlossaryCLIKYouarehereHomeAcuteInfectiousMononucleosisA047AcuteInfectiousMononucleosisA047DocumentPrintversion    SendemailLastamended 11January2021CurrentRMAInstrumentsReasonableHypothesisSOP17of2021BalanceofProbabilitiesSOP18of2021ChangesfrompreviousInstrumentsSOPBulletin218ICD CodingICD-9-CMCodes:075ICD-10-AMCodes:B27.0BriefdescriptionAcuteinfectiousmononucleosis,alsoknownasglandularfever,isanacuteillnessduetoEpstein-Barrvirusinfection. Itischaracterisedbyfever,tonsilarpharyngitis,fatigue,enlargedlymphnodesandanelevatedlymphocytecountonbloodtesting. Itismostcommoninadolescentsandyoungadults.ConfirmingthediagnosisEpstein-Barrvirusinfectionisverycommonandoftenasymptomatic. Evidenceofpastinfectioncanbefoundin90%ormoreofolderadults.Aysmptomaticinfectionisnotadisease(forDVApurposes)andisnotcoveredbytheSOP.AdiagnosisofacuteinfectiousmononucleosisrequiresbothaclinicalillnessconsistentwiththeconditionandlaboratoryevidenceofrecentlyacquiredEpstein-Barrvirusinfection. Laboratoryevidencecanincludea heterophileantibody(monospot)testorserologytestingforEBV-specificantibodies. Thediagnosiscanbemadebyageneralpractitioner.Therelevantmedicalspecialistisaninfectiousdiseasesphysician.AdditionaldiagnosescoveredbySOPGlandularfever(butseeconditionsnotcovered)Acuteinfectiousmononucleosis-resolved SymptomaticEpstein-BarrvirusinfectionConditionsnotcoveredbySOPAsymptomaticEpstein-Barrvirusinfection-N.I.F.Chronicfatiguesyndrome