Author: Fiona Mendes / Editor: Martin Dore / Reviewer: Fiona Mendes / Codes: / Published: 14/02/2023
A 15-year-old teenage boy presents to your Paediatric Emergency Department (ED) complaining of fevers, sore throat and tiredness.
On examination, of note, he has an erythematous throat with bilateral enlarged tonsils coated with a “whitewash” exudate, bilateral cervical lymphadenopathy and a palpable, enlarged spleen.
His girlfriend of the same age recently also had a sore throat and felt run down, thought to be attributed to recent stress as they are both studying together for their upcoming GCSE exams at secondary school. He is a keen footballer and hopes to play professionally in the future.
You suspect that this patient has glandular fever.
Figure 1. Cervical lymphadenopathy in a patient with infectious mononucleosis.
