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Chronic Fatigue Syndrome After Infectious Mononucleosis in Adolescents

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Katz, Ben Z., Shiraishi, Yukiko, Mears, Cynthia J., Binns, Helen J., Taylor, Renee·2009·PEDIATRICS

DOI 10.1542/peds.2008-1879PMC PMC2756827

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Abstract

OBJECTIVE: The goal was to characterize prospectively the course and outcome of chronic fatigue syndrome in adolescents during a 2-year period after infectious mononucleosis. METHODS: A total of 301 adolescents (12-18 years of age) with infectious mononucleosis were identified and screened for nonrecovery 6 months after infectious mononucleosis by using a telephone screening interview. Nonrecovered adolescents underwent a medical evaluation, with follow-up screening 12 and 24 months after infectious mononucleosis. After blind review, final diagnoses of chronic fatigue syndrome at 6, 12, and 24 months were made by using established pediatric criteria. RESULTS: Six, 12, and 24 months after infectious mononucleosis, 13%, 7%, and 4% of adolescents, respectively, met the criteria for chronic fatigue syndrome. Most individuals recovered with time; only 2 adolescents with chronic fatigue syndrome at 24 months seemed to have recovered or had an explanation for chronic fatigue at 12 months but then were reclassified as having chronic fatigue syndrome at 24 months. All 13 adolescents with chronic fatigue syndrome 24 months after infectious mononucleosis were female and, on average, they reported greater fatigue severity at 12 months. Reported use of steroid therapy during the acute phase of infectious mononucleosis did not increase the risk of developing chronic fatigue syndrome. CONCLUSIONS: Infectious mononucleosis may be a risk factor for chronic fatigue syndrome in adolescents. Female gender and greater fatigue severity, but not reported steroid use during the acute illness, were associated with the development of chronic fatigue syndrome in adolescents. Additional research is needed to determine other predictors of persistent fatigue after infectious mononucleosis.

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Authors: Katz, B. Z., Shiraishi, Y., Mears, C. J., Binns, H. J., & Taylor, R.
Affiliations: Northwestern University (US)
University of Illinois Chicago (US)
Department of Occupational Health, College of Applied Sciences, University of Illinois at Chicago, Chicago, Illinois
ORCID: Katz, Ben Z.
Binns, Helen J.
Venue: PEDIATRICS
Publisher: American Academy of Pediatrics (AAP)
Published: 2009-07-01
Volume: 124
Issue: 1
Pages: 189-193
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2008-1879
PMC: PMC2756827
OpenAlex: W2021748243
Cited by: 221
References: 19
Citations by year: 2026: 9 · 2025: 15 · 2024: 23 · 2023: 25 · 2022: 26 · 2021: 19 · 2020: 11 · 2019: 18 · 2018: 10 · 2017: 11 · 2016: 12 · 2015: 4 · 2014: 11 · 2013: 4 · 2012: 8
FWCI: 4.54
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
University of Illinois at Urbana-Champaign
National Institute of Child Health and Human Development
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD043301, R01HD4330101A1)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Health Sciences › Medicine › Oncology › Viral-associated cancers and disorders
Keywords: chronic fatigue syndrome, infectious mononucleosis, adolescents, persistent fatigue, corticosteroid therapy, female sex, fatigue severity, risk factors, post-infectious fatigue
MeSH terms: Adolescent, Child, Female, Humans, Infectious Mononucleosis, Male, Risk Factors, Fatigue Syndrome, Chronic

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Chronic Fatigue Syndrome After Infectious Mononucleosis in Adolescents

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