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People should seek immediate help by calling 911 or going to an emergency room if alarming symptoms develop, such as: tenderness in the left upper abdomen and pain in the left shoulder, which may indicatesplenic rupture difficulty breathing a stiff neck a rash that does not disappear under a glass vomiting confusion vision changes seizures paralysis difficulty staying awake loss of consciousness Below are answers to commonly asked questions about mono: Can you kiss when you have mono