Title
Infectious mononucleosis
UMMS Affiliation
Department of Pediatrics; Program in Molecular Medicine
Date
5-27-2010
Document Type
Article
Medical Subject Headings
Adolescent; Adrenal Cortex Hormones; Antibodies, Viral; Antiviral Agents; Diagnosis, Differential; Female; *Herpesvirus 4, Human; Humans; *Infectious Mononucleosis; Male; Pharyngitis; Streptococcal Infections; Streptococcus pyogenes
Disciplines
Immunology and Infectious Disease | Pediatrics
Abstract
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations. The case: A 16-year-old, previously healthy girl presents with a several-day history of fever, sore throat, and malaise. She appears very tired and has a temperature of 39°C. A physical examination is remarkable for diffuse pharyngeal erythema with moderately enlarged tonsils and the presence of several enlarged, tender anterior and posterior cervical lymph nodes. How should this case be managed?
Rights and Permissions
Citation: N Engl J Med. 2010 May 27;362(21):1993-2000. Link to article on publisher's site