Represents a case of Epstein Barr Virus (EBV) infection on the day of admission. The presentation doesn't include lab data or the result from any other type of work-up, but it's nice noting that the diagnosis was confirmed later. These slides focus primarily on the initial presentation of the disease in a young male.

1. 10/30/2017

2. Fever, chills and sore throat

3.  26-year-old male
 Fever, chills & sore throat since 3 days ago
 Sore throat was so severe the patient mentions
it made it almost impossible for him to eat.
 Similar episodes (x2) during the past 3 months
that were resolved with antibiotics.
 Headache +
 No productive coughs/vomiting/diarrhea

4.  Hospitalization due to respiratory infection 13
years ago
 Surgery (Rt. hand fx.) 4 years ago

5.  Cap. Coamoxyclavulanic acid
 Amp. Cefazolin

6.  Negative

7.  Unemployed
 Smoker
 Occasional tramadol use
 Sexual contact 1-2 weeks ago

8.  PR= 90/min
 BP= 115/80
 RR= 16
 Temp (oral)= 38.8 degrees celcius

9.  White aphthous lesion on the tip of the tongue
 Exudates on pharynx exam
 Bulge, tender submandibular lymph nodes
(predominant on the Rt. side)

10.  26-year-old male
 Fever, chills, exudative pharyngitis and bulge,
tender submandibular lymph nodes since 3
days ago.
 Headache, aphthous lesion on tongue
 Hx. of coitus

11.  EBV (infectious Mononucleosis)
 Strep. Pharyngitis
 Diphtheria
 Gonococcal pharyngitis
 HIV
 Herpangina
 HSV
 Adenoviral infections