Question 123 · LEK · Epstein-Barr virus infection

An 18-year-old patient with a sore throat and body temperature 37.4 ºC presents pus-like exudate tonsils, enlarged cervical lymph nodes, spleen enlargement, and a maculopapular rash after amoxicillin administration. The most probable diagnosis is:

  1. A. streptococcal pharyngitis.
  2. B. infectious mononucleosis.
  3. C. diphtheria.
  4. D. scarlet fever.
  5. E. herpangina.
Hint

Exudative tonsillitis with splenomegaly and a rash after an aminopenicillin points to a specific herpesvirus.

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