RT Book, Section A1 Gonzalez, Blanca E. A2 Usatine, Richard P. A2 Sabella, Camille A2 Smith, Mindy Ann A2 Mayeaux, E.J. A2 Chumley, Heidi S. A2 Appachi, Elumalai SR Print(0) ID 1114878759 T1 Epstein Barr Virus Infections (Infectious Mononucleosis) T2 The Color Atlas of Pediatrics YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176701-9 LK accesspediatrics.mhmedical.com/content.aspx?aid=1114878759 RD 2024/03/28 AB A 16-year-old boy comes to see his pediatrician because of a 7-day history of intense sore throat, fever, malaise, and abdominal pain. He also complains of bilateral neck swelling and tenderness. On examination, he has markedly enlarged tonsils with bilateral whitish exudates, and very large lymph nodes palpable in the posterior neck bilaterally (Figure 184-1). In addition, his spleen is palpable at 1 cm below the left costal margin. A heterophile antibody test (monospot) is positive and he is offered symptomatic treatment. His symptoms persist for about 10 days, after which he recovers completely.