A Case of Infectious Mononucleosis Characterized by Tonsillitis

Abstract

A 19-year-old woman was referred to us because of persistent fever and progressive dysphagia 5 days prior to admission. She had malaise followed by fever and increasing sore throat for which treatment was unsuccessful. Physical examination showed remarkable swelling and hyperemia of tonsils of Waldeyer ring. Cervical lymphadenopathy was present. The leucocyte count was 9800 with 81 % lymphocyte and many atypical lymphocyte were found. Paul-Bunnell test was × 32. Antibody titer for EB-virus was increased. The diagnosis was infectoius mononucleosis.