Glandular fever is caused by an infection with the Epstein-Barr virus (EBV), which is a member of the herpes virus family. The virus is primarily spread through close personal contact, especially via saliva, which is why glandular fever is sometimes called the "kissing disease." It can also be transmitted by coughing, sneezing, or sharing utensils and cups with someone who is infected. Once infected, the virus multiplies in the cells of the mucous membranes in the nose and throat before spreading to the white blood cells and other organs like the lymph nodes and spleen. The infection is most common in teenagers and young adults but can affect people of all ages. The virus can remain dormant in the body for life after the initial infection.
