Ebv infection – symptoms, causes, diagnosis, and treatment options

Ebv infection refers to an infection caused by the Epstein-Barr virus (EBV), which is a member of the herpesvirus family. This virus is commonly transmitted through saliva, hence it is often referred to as the “kissing disease.”

One of the most common symptoms of an EBV infection is fatigue, which can last for weeks or even months. Other common symptoms include fever, sore throat, and enlarged lymph nodes. In some cases, the infection can lead to a condition called mononucleosis, which is characterized by severe fatigue, fever, sore throat, and swollen lymph nodes.

Diagnosing an EBV infection can be challenging, as its symptoms are similar to those of other viral infections. A healthcare provider may order a blood test to check for antibodies specific to the Epstein-Barr virus. They may also perform a physical examination to check for enlarged lymph nodes and other symptoms of the infection.

There is no specific treatment for EBV infection. Most cases of the infection are self-limiting and resolve on their own with plenty of rest, fluids, and over-the-counter pain relievers to manage symptoms. In severe cases, antiviral medications may be prescribed to help reduce the duration and severity of symptoms.

Symptoms of EBV Infection

EBV (Epstein-Barr virus) infection, also known as mononucleosis or mono, is a viral infection caused by the Epstein-Barr virus. This virus belongs to the herpes family of viruses and is one of the most common viruses in humans.

Common Symptoms

EBV infection can cause various symptoms that can vary in severity from person to person. The most common symptoms include:

Fever	– EBV infection often presents with a high fever that can persist for several days.
Sore Throat	– A sore throat is a common symptom of EBV infection and can be accompanied by difficulty swallowing.
Enlarged Lymph Nodes	– EBV infection can cause lymph nodes in the neck, armpits, and groin to become swollen and tender.
Fatigue	– Many individuals with EBV infection experience excessive tiredness and a lack of energy.

Other Possible Symptoms

In addition to the common symptoms mentioned above, EBV infection can also cause other symptoms such as:

• Headache
• Muscle aches
• Nausea
• Loss of appetite
• Skin rash

It’s important to note that some individuals infected with EBV may not experience any symptoms at all. However, they can still transmit the virus to others through saliva, blood, or other bodily fluids.

If you are experiencing any of these symptoms or suspect you may have been infected with EBV, it is recommended to consult a healthcare professional for diagnosis and appropriate treatment.

Diagnosis and Testing for EBV Infection

Diagnosing EBV infection can be challenging due to its wide range of symptoms that can overlap with other common illnesses. However, several tests are available to help healthcare providers identify if a person has been infected with the Epstein-Barr virus.

One common diagnostic test for EBV infection is a blood test. This test looks for specific antibodies produced by the body’s immune system in response to the virus. By measuring the levels of these antibodies, healthcare providers can determine if a person has previously been infected with EBV. Additionally, a blood test can also help differentiate between an acute infection and a past infection.

Another diagnostic method for EBV infection is a throat swab. This involves taking a sample from the back of the throat and testing it for the presence of the virus. A positive result can confirm an active EBV infection and help guide treatment decisions.

In cases where a person is suspected to have developed mononucleosis, additional tests may be performed. These tests can include a complete blood count (CBC) to check for abnormal white blood cell counts, as well as a liver function test to assess liver involvement.

In some cases, healthcare providers may also perform imaging tests, such as ultrasound or CT scans, to evaluate complications associated with EBV infection. These can include complications like an enlarged spleen or enlarged lymph nodes.

It is important to consult a healthcare provider if you experience symptoms of EBV infection, such as sore throat, fatigue, and enlarged lymph nodes. Following an accurate diagnosis, appropriate treatment and management strategies can be implemented to help alleviate symptoms and promote recovery.

Testing for EBV Antibodies

When it comes to diagnosing an Epstein-Barr virus (EBV) infection, healthcare professionals often rely on testing for EBV antibodies. These antibodies are produced by the body’s immune system in response to the presence of the virus.

Types of EBV Antibody Tests

There are several types of EBV antibody tests that can be performed to determine whether a person has been infected with the virus. The most common tests include:

• EBV IgM Antibody Test: This test detects the presence of IgM antibodies, which are the first antibodies produced during an acute EBV infection. High levels of IgM antibodies typically indicate a recent infection.
• EBV IgG Antibody Test: This test detects the presence of IgG antibodies, which are produced after the initial infection and remain in the body for the rest of a person’s life. Positive results for IgG antibodies suggest a past or current EBV infection.
• EBV Early Antigen Test: This test detects the presence of early viral antigens, which can indicate an active or recent EBV infection. It is often used in conjunction with other antibody tests for a more accurate diagnosis.

Interpreting EBV Antibody Test Results

Interpreting EBV antibody test results requires the expertise of a healthcare professional. A positive IgM antibody test, along with symptoms such as sore throat, enlarged lymph nodes, and fatigue, may suggest a primary EBV infection or mononucleosis. A positive IgG antibody test alone may indicate a past EBV infection without active symptoms.

Follow-Up Testing

If initial EBV antibody test results are inconclusive or if there is a need for further confirmation, additional follow-up testing may be conducted. This can include a viral load test, which measures the amount of EBV in the blood, or a heterophile antibody test, which is commonly used to diagnose infectious mononucleosis.

In summary, testing for EBV antibodies is an essential tool in diagnosing an EBV infection. It helps healthcare professionals distinguish between recent and past infections, as well as identify individuals who may be at risk of developing complications from the virus. If you experience symptoms such as fatigue, fever, sore throat, or enlarged lymph nodes, it is important to consult with a healthcare professional to determine if testing for EBV antibodies is necessary.

EBV Infection and Mono

EBV (Epstein-Barr virus) is a common virus that belongs to the herpes virus family. It is one of the most common viruses in humans and is spread through contact with infected saliva. EBV can cause various symptoms, including fatigue, sore throat, and enlarged lymph nodes.

When someone becomes infected with EBV, they may experience flu-like symptoms such as fever, fatigue, and sore throat. These symptoms usually appear 4-6 weeks after exposure to the virus and can last for several weeks or even months. In some cases, the symptoms may be mild and go unnoticed.

Mononucleosis

One of the most well-known illnesses associated with EBV infection is mononucleosis, often referred to as “mono” or the “kissing disease.” Mono is characterized by symptoms such as extreme fatigue, sore throat, and swollen lymph nodes. It can also cause fever, headache, and body aches.

Mononucleosis is most common in adolescents and young adults, but people of all ages can be affected. The infection spreads through contact with infected saliva, which can occur through kissing, sharing utensils, or other close contact. It is important to note that not everyone who is infected with EBV will develop mono.

Diagnosis and Treatment

Diagnosing an EBV infection usually involves a combination of medical history evaluation, physical examination, and laboratory tests. Blood tests can detect the presence of specific antibodies and determine the stage of the infection.

There is no specific treatment for EBV infection or mononucleosis. Most people recover on their own with rest, fluids, and over-the-counter pain relievers to alleviate symptoms. It is important to get plenty of rest and avoid strenuous activities while recovering from an EBV infection.

In rare cases, complications can occur, such as an enlarged spleen or liver, which may require additional medical attention. It is important to monitor symptoms closely and seek medical advice if they worsen or persist.

Complications of EBV Infection

While most cases of EBV infection result in mild symptoms, there are potential complications that can arise from the virus.

1. Mononucleosis

In some cases, an EBV infection can lead to the development of mononucleosis, also known as “mono” or the “kissing disease.” Symptoms of mononucleosis include severe fatigue, sore throat, and swollen lymph nodes.

Mononucleosis is more common in teenagers and young adults and typically lasts for a few weeks to several months. It can cause extreme exhaustion and make it difficult to carry out normal daily activities.

2. Enlarged lymph nodes

EBV infection can cause the lymph nodes to become enlarged. This is a normal immune response to the infection and typically resolves on its own over time.

However, in some cases, the lymph nodes can become severely enlarged and painful. This may require medical intervention, such as the use of anti-inflammatory medications or drainage of fluid from the lymph nodes.

It is important to note that while enlarged lymph nodes are a common symptom of EBV infection, they can also be caused by other viruses or infections. Therefore, a proper diagnosis is necessary to determine the cause of the lymph node enlargement.

Overall, while complications from EBV infection are rare, it is important to be aware of the potential risks. If you experience severe symptoms, such as persistent fatigue or enlarged lymph nodes, it is recommended to seek medical attention for proper diagnosis and treatment.

EBV Infection in Children

EBV (Epstein-Barr virus) infection is a common viral illness that affects people of all ages, including children. It is one of the most common viruses in humans, with over 90% of adults worldwide having been infected at some point in their lives. In children, EBV infection can cause a range of symptoms, similar to those seen in adults.

The most common symptom of EBV infection in children is a sore throat. This is often accompanied by other symptoms such as fatigue, fever, and swollen lymph nodes. In some cases, children may develop a condition called mononucleosis, which is characterized by extreme fatigue, enlarged lymph nodes, and a swollen spleen.

EBV is spread through saliva, which means that it can easily be transmitted through close contact with an infected person, such as sharing utensils or kissing. The virus can also be spread through blood and other bodily fluids.

Diagnosing EBV infection in children is typically done through a blood test. This test looks for specific antibodies that the body produces in response to the virus. A positive test result, along with the presence of typical symptoms, can confirm an EBV infection.

There is no specific treatment for EBV infection, and it usually goes away on its own within a few weeks or months. However, doctors may recommend rest, plenty of fluids, and over-the-counter pain relievers to help relieve symptoms and manage discomfort. In severe cases of mononucleosis, hospitalization may be necessary.

It’s important for parents to be aware of the symptoms of EBV infection in children and seek medical attention if their child develops symptoms such as a severe sore throat, high fever, or persistent fatigue. Early diagnosis and proper management can help prevent complications and promote a faster recovery.

Symptoms of EBV infection in children
Sore throat
Fatigue
Fever
Swollen lymph nodes
Enlarged spleen (in some cases of mononucleosis)

EBV Infection in Adolescents

Adolescents are particularly susceptible to EBV infection, which is caused by the Epstein-Barr virus. This common infection can cause a range of symptoms and complications in this age group.

Symptoms

Common symptoms of EBV infection in adolescents include:

• Enlarged lymph nodes
• Mononucleosis
• Fever
• Sore throat

These symptoms can vary in severity and may last for a few weeks or longer.

Diagnosis and Treatment

Diagnosing EBV infection in adolescents typically involves a physical examination, evaluation of symptoms, and blood tests to confirm the presence of the virus.

There is no specific treatment for EBV infection, but symptoms can be managed with rest, plenty of fluids, and over-the-counter pain relievers. In severe cases, healthcare providers may recommend antiviral medications or other supportive care measures.

It’s important for adolescents with EBV infection to take care of themselves and avoid strenuous physical activity until symptoms subside. Regular follow-up appointments with healthcare providers can help monitor recovery and ensure appropriate care.

In conclusion, EBV infection can have a significant impact on adolescents, causing a range of symptoms and complications. With proper care and management, most individuals recover fully from the infection. However, it’s important to seek medical attention if symptoms worsen or persist for an extended period of time.

EBV Infection in Adults

EBV (Epstein-Barr virus) is a common virus that belongs to the herpes virus family. It is primarily transmitted through bodily fluids, such as saliva, and can cause infections in people of all ages. While EBV infection is most commonly associated with mononucleosis, it can also affect adults and present with different symptoms.

One of the most common symptoms of EBV infection in adults is fatigue. This persistent feeling of tiredness can be overwhelming and can last for weeks or even months. Adults may also experience enlarged lymph nodes, especially in the neck, armpits, and groin. These swollen glands are a result of the body’s immune response to the infection.

Other symptoms of EBV infection in adults may include a low-grade fever, sore throat, and body aches. Some individuals may develop a rash, while others may experience nausea or loss of appetite. It is important to note that the symptoms of EBV infection in adults can vary from person to person, and some individuals may be asymptomatic.

Diagnosing EBV infection in adults typically involves a physical examination and a blood test. The blood test can detect the presence of antibodies produced by the body in response to the virus. A healthcare professional may also order additional tests, such as a throat swab or a liver function test, depending on the individual’s symptoms.

There is no specific treatment for EBV infection in adults, as the virus typically resolves on its own over time. However, certain measures can be taken to alleviate the symptoms and promote recovery. Resting, staying hydrated, and taking over-the-counter pain relievers can help manage symptoms such as fever and body aches. It is advisable to avoid contact sports or other activities that may strain the spleen, as this organ can become enlarged and more vulnerable during an EBV infection.

In conclusion, EBV infection can affect adults and present with a range of symptoms, including fatigue, enlarged lymph nodes, fever, and sore throat. While there is no specific treatment for EBV infection, adequate rest and symptomatic relief can help manage the symptoms and support the body’s natural healing process.

Treatment Options for EBV Infection

There is no specific treatment for EBV infection or mononucleosis, as it is a viral infection and antibiotics are ineffective against viruses. However, there are several treatment options available to help manage the symptoms and provide relief.

Rest and Fluids

One of the most important aspects of treating EBV infection and mononucleosis is getting plenty of rest and staying hydrated. This can help the body’s immune system fight off the infection and reduce the severity of symptoms.

Pain Relievers

Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate symptoms such as sore throat and fever. It is important to follow the recommended dosage and consult a healthcare professional if the symptoms persist or worsen.

Additionally, it is essential to avoid strenuous physical activity and contact sports while experiencing symptoms, as this can lead to complications such as an enlarged spleen.

Complications

In some cases, EBV infection can lead to complications such as an enlarged spleen or liver. In such situations, it is important to follow the healthcare provider’s instructions and recommendations. This may involve avoiding certain medications or activities that could further harm the affected organs.

It is also crucial to seek medical attention if symptoms worsen or new symptoms develop, such as difficulty breathing, severe fatigue, or persistent high fever.

While there is no specific antiviral medication for EBV infection, some studies suggest that a medication called antiviral drug ganciclovir could have potential in reducing symptoms in severe cases. However, further research is needed to determine its effectiveness.

In conclusion, the treatment for EBV infection and mononucleosis mainly focuses on managing symptoms and supporting the body’s immune system. Rest, fluids, and pain relievers can provide relief, while medical attention should be sought for any complications or worsening symptoms.

Antiviral Medications for EBV Infection

While there is no specific antiviral medication for Epstein-Barr virus (EBV) infection, there are certain antiviral medications that can help alleviate the symptoms and potentially shorten the duration of the illness.

Drugs for Symptom Relief

Antipyretics, such as acetaminophen or ibuprofen, may be used to reduce fever and relieve associated discomfort. Nonsteroidal anti-inflammatory drugs (NSAIDs) can also help with reducing pain and inflammation.

Treatment for Severe Cases

For severe cases of EBV infection, antiviral medications such as acyclovir, valacyclovir, or famciclovir may be prescribed. These medications work by inhibiting the replication of the virus, potentially speeding up the recovery process.

It is important to note that these antiviral medications are not typically used for uncomplicated cases of EBV infection, such as mononucleosis. They are primarily reserved for individuals with severe symptoms or those at risk of developing complications.

It is always best to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Managing EBV Infection Symptoms

EBV infection, also known as mononucleosis, is a common viral infection caused by the Epstein-Barr virus (EBV). It typically affects teenagers and young adults, but people of all ages can become infected. Various symptoms can occur during an EBV infection, and managing these symptoms effectively is crucial for a speedy recovery.

Sore Throat Relief

One of the most common symptoms of an EBV infection is a sore throat. To manage this discomfort, gargling with warm salt water can help to soothe the throat. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can also be taken to alleviate pain and reduce fever. Drinking warm liquids, such as tea or soup, can also provide relief and help keep the throat hydrated.

Fighting Fatigue

EBV infection often causes extreme fatigue that can last for several weeks. To manage this fatigue, it is important to get plenty of rest and prioritize sleep. Avoiding strenuous activities and conserving energy can also help to reduce fatigue levels. Additionally, maintaining a balanced diet and staying hydrated can contribute to overall energy levels and support the immune system in fighting the infection.

While managing EBV infection symptoms can provide relief, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan. Follow their advice and guidelines to ensure a speedy recovery and prevent any potential complications.

Preventing the Spread of EBV Infection

While there is no vaccine against the Epstein-Barr virus (EBV), there are steps you can take to prevent the spread of infection.

1. Practice good hygiene:

Wash your hands frequently with soap and water for at least 20 seconds, especially after coughing, sneezing, or blowing your nose. Avoid touching your face, particularly your mouth, nose, and eyes, as this can transfer the virus from contaminated surfaces to your body.

2. Avoid sharing personal items:

Do not share items like utensils, cups, or toothbrushes with anyone who has an active EBV infection. This can help minimize the risk of transferring the virus.

3. Cover your mouth and nose when coughing or sneezing:

Use a tissue or your elbow to cover your mouth and nose when you cough or sneeze. This can help prevent the spread of viruses, including EBV, through respiratory droplets.

4. Avoid close contact with infected individuals:

Limit close contact with individuals who have symptoms of an EBV infection, such as enlarged lymph nodes, sore throat, fatigue, and fever. Maintain a safe distance, especially if they are coughing or sneezing.

5. Stay home when you are sick:

If you suspect that you have an EBV infection or any other illness, it is important to stay home and avoid close contact with others. This can help prevent the spread of the infection to those around you.

By following these preventive measures, you can reduce the risk of contracting and spreading EBV infection. It is important to remember that while EBV is common and often benign, it can cause complications in some cases. If you experience severe symptoms or have concerns about the infection, consult a healthcare professional for proper diagnosis and treatment.

Long-Term Outlook for EBV Infection

Most cases of EBV infection have a good long-term outlook. The majority of people who are infected with the virus will recover within a few weeks to a couple of months.

However, it is important to note that some individuals may experience lingering symptoms or complications from the infection. For example, viruses like EBV can cause enlarged lymph nodes. These swollen glands may persist for several weeks or even months after the initial infection. It is also possible for individuals to develop mononucleosis, a condition characterized by fever, fatigue, and sore throat, which can last for months.

In rare cases, EBV infection can lead to more serious complications, such as hepatitis, inflamed heart muscle, or problems with the central nervous system. These complications are more likely to occur in individuals with weakened immune systems.

Prevention and Management

There is currently no vaccine available to prevent EBV infection. However, there are steps that individuals can take to reduce their risk of contracting the virus. These include practicing good hygiene, avoiding close contact with individuals who have the infection, and refraining from sharing personal items like utensils or drinking glasses.

If you suspect that you have been infected with EBV, it is important to see a healthcare professional for a proper diagnosis. They may order blood tests to confirm the presence of the virus. Treatment for EBV infection typically involves rest, hydration, and over-the-counter pain relievers to manage symptoms such as fever and sore throat.

Conclusion

While most cases of EBV infection have a good long-term outlook and resolve within a few weeks to months, it is important to be aware of potential complications and to seek medical attention if symptoms persist or worsen. By practicing good hygiene and taking appropriate steps to prevent the spread of the virus, individuals can reduce their risk of contracting EBV and the associated symptoms.

Common Symptoms	Possible Complications
Enlarged lymph nodes	Hepatitis
Mononucleosis-like symptoms (fever, fatigue, sore throat)	Inflamed heart muscle
	Central nervous system problems

FAQs about EBV Infection

Here are some frequently asked questions about EBV infection:

Q:	What are the symptoms of EBV infection?
A:	The symptoms of EBV infection may vary, but common ones include fever, fatigue, and enlarged lymph nodes.
Q:	What are enlarged lymph nodes?
A:	Enlarged lymph nodes are swollen glands in the neck, armpits, and groin area. They usually result from the body’s immune response to the presence of viruses, including EBV.
Q:	Is EBV the only virus that can cause fatigue?
A:	No, there are several other viruses that can cause fatigue, but EBV is one of the most common ones associated with this symptom.
Q:	What is mononucleosis?
A:	Mononucleosis, also known as “mono” or the “kissing disease,” is a viral infection caused by EBV. It is characterized by symptoms such as sore throat, fever, fatigue, and swollen lymph nodes.
Q:	How is EBV infection diagnosed?
A:	EBV infection can be diagnosed through blood tests that detect the presence of antibodies against the virus.
Q:	What is the treatment for EBV infection?
A:	There is no specific treatment for EBV infection. Rest, hydration, and over-the-counter pain relievers can help manage symptoms. Severe cases may require hospitalization and supportive care.

Research and Studies on EBV Infection

Research and studies on EBV (Epstein-Barr virus) infection have provided valuable insight into this common viral illness. EBV is a type of herpes virus that infects more than 90% of people worldwide. It is known to cause several symptoms, such as sore throat, fever, fatigue, and enlarged lymph nodes.

Identification and Diagnosis

Scientists have conducted extensive research to develop effective methods for the identification and diagnosis of EBV infection. This includes the development of reliable laboratory tests that can detect the presence of EBV antibodies or viral DNA in a patient’s blood.

Additionally, studies have explored the use of advanced imaging techniques, such as ultrasound or CT scans, to detect and monitor the enlargement of lymph nodes associated with EBV infection.

Treatment and Prevention

Research on the treatment and prevention of EBV infection is ongoing. Currently, there is no specific antiviral treatment available for EBV infection. However, studies have investigated the use of antiviral medications and immune system modulators to alleviate symptoms and reduce the duration of the infection.

Moreover, research has focused on understanding the immune response to EBV infection and developing vaccines to prevent primary infection or reactivation of the virus in individuals who have previously been infected.

• One study found that a novel vaccine candidate showed promising results in preventing the contraction of EBV infection in animal models.
• Another study explored the potential use of monoclonal antibodies, which are laboratory-produced molecules that can specifically target and neutralize the EBV virus, as a treatment option.

These ongoing research efforts aim to improve the management and prevention of EBV infection, ultimately reducing the burden of this common viral illness on individuals and healthcare systems worldwide.

Support and Resources for EBV Infection

If you or a loved one has been diagnosed with EBV infection, it can be a challenging time. However, there are many resources available to provide support and guidance during this period. These resources can help you better understand the infection and its symptoms, as well as provide information on diagnosis and treatment options.

One of the most common symptoms of EBV infection is enlarged lymph nodes. If you notice any swelling or lumps in your neck, armpits, or groin, it is important to seek medical attention. A healthcare professional can evaluate your symptoms and provide a proper diagnosis.

Fever and fatigue are also common symptoms of EBV infection. It is important to rest and take care of your body during this time. Drink plenty of fluids, eat a healthy diet, and get enough sleep to support your immune system.

Infection with EBV can also cause a sore throat. Gargling with warm salt water and using over-the-counter pain relievers can help alleviate the discomfort. It is also important to avoid sharing utensils or drinks with others to prevent the spread of the infection.

If you have been diagnosed with EBV infection and are experiencing symptoms similar to mononucleosis, it is important to reach out for support. Joining online forums or support groups can connect you with others who are going through a similar experience. These communities can provide valuable advice, emotional support, and encouragement.

Additionally, talking to your healthcare provider can help you understand your diagnosis and treatment options. They can provide personalized guidance and recommend the best course of action for you. Don’t hesitate to ask questions and voice any concerns you may have.

Remember, you are not alone in dealing with EBV infection. Reach out to trusted resources and support networks to navigate through this challenging time.

Q&A:

What are the common symptoms of EBV infection?

The common symptoms of EBV infection include fatigue, fever, sore throat, swollen lymph nodes, and rash.

How is EBV infection diagnosed?

EBV infection can be diagnosed through a blood test that detects antibodies to the virus. Other tests, such as a throat swab or a lymph node biopsy, may also be done to confirm the diagnosis.

Can EBV infection be treated?

There is no specific treatment for EBV infection. However, symptoms can be managed with rest, over-the-counter pain relievers, and staying hydrated. In severe cases, antiviral medications may be prescribed.

Is EBV infection contagious?

Yes, EBV infection is contagious. It can be spread through contact with saliva, such as sharing drinks or utensils, or through close contact, such as kissing.

How long does it take to recover from EBV infection?

The recovery time from EBV infection can vary from person to person. Most people start feeling better within a few weeks, but it can take several months to fully recover.

What are the common symptoms of EBV infection?

The common symptoms of EBV infection include fatigue, fever, sore throat, swollen lymph glands, and swollen tonsils.

How is EBV infection diagnosed?

EBV infection can be diagnosed through a blood test, which detects the presence of specific EBV antibodies.

What are the complications of EBV infection?

Complications of EBV infection can include hepatitis, swelling of the spleen, and a rare condition called autoimmune hemolytic anemia.

Can EBV infection be treated with medication?

There is no specific medication to treat EBV infection. Treatment typically involves rest, staying hydrated, and taking over-the-counter pain relievers.

How long does it take to recover from an EBV infection?

The recovery time from an EBV infection can vary, but most people start feeling better within 2-4 weeks. However, it may take several months to fully recover from the fatigue associated with the infection.