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Pharyngitis and Tonsillar Exudates in an 18-Year-Old Woman

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
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Article Information

Corresponding Author: Kristin Walter, MD, MS, 2800 N Sheridan Rd, Ste 301, Chicago, IL 60657 (Kristin.Walter@amitahealth.org).

Published Online: November 15, 2021. doi:10.1001/jama.2021.19023

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for providing permission to share her information.

References
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Naughton  P , Healy  M , Enright  F , Lucey  B .  Infectious mononucleosis: diagnosis and clinical interpretation.   Br J Biomed Sci. 2021;78(3):107-116. doi:10.1080/09674845.2021.1903683PubMedGoogle ScholarCrossref
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Elgh  F , Linderholm  M .  Evaluation of six commercially available kits using purified heterophile antigen for the rapid diagnosis of infectious mononucleosis compared with Epstein-Barr virus–specific serology.   Clin Diagn Virol. 1996;7(1):17-21. doi:10.1016/S0928-0197(96)00245-0PubMedGoogle ScholarCrossref
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Lennon  P , Crotty  M , Fenton  JE .  Infectious mononucleosis.   BMJ. 2015;350:h1825. doi:10.1136/bmj.h1825PubMedGoogle ScholarCrossref
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Macsween  KF , Higgins  CD , McAulay  KA ,  et al.  Infectious mononucleosis in university students in the United Kingdom: evaluation of the clinical features and consequences of the disease.   Clin Infect Dis. 2010;50(5):699-706. doi:10.1086/650456PubMedGoogle ScholarCrossref
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Bartlett  A , Williams  R , Hilton  M .  Splenic rupture in infectious mononucleosis: a systematic review of published case reports.   Injury. 2016;47(3):531-538. doi:10.1016/j.injury.2015.10.071PubMedGoogle ScholarCrossref
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