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Infectious mononucleosis - BMJ

The bmj | 25 April 2015 29 EDUCATION CLINICAL REVIEWT hese low titres of Infectious virus account for the low to moderate contagiousness of the disease and the apparent requirement of intimate contact for disease During an active infection the viral load may be increased, and therefore some precautions about contact should be mentioned (cough etiquette, hand hygiene, kissing, sharing food)

tinguishes infectious mononucleosis from bacterial tonsil - litis (where the lymphadenopathy is usually limited to the upper anterior cervical chain). These signs were found in 98% of patients with a diagnosis of infectious mononucleo - sis.6 Other common physical signs include palatal petechiae (25-50%), splenomegaly (8%),w15 hepatomegaly (7%),

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