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Images in paediatrics
Glandular fever, Epstein-Barr virus and hypoglossal nerve palsy
  1. Jonathan Derrick,
  2. Kate Ryan,
  3. Birgit Konig,
  4. Tammy Rothenberg
  1. Department of Paediatrics, Homerton University Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Jonathan Derrick, Department of Paediatrics, Homerton University Hospital, London E9 6SR, UK; jonathanrussell.derrick{at}

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A 9-year-old girl presented with a 4-day history of fever, coryza, sore neck and throat. She was tachycardic, normotensive and had sore bilateral enlarged cervical lymphadenopathy with halitosis. A diagnosis of glandular fever was made, and she was admitted for observation and intravenous fluids.

Blood tests showed an elevated C reactive protein of 73 and monocyte count (2.22×109/L) and a positive monospot. Epstein-Barr virus (EBV) serology …

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  • Contributors JD prepared the manuscript, took photographs and obtained consent. JD, KR, BK and TR were all involved in the patient’s clinical care. KR, BH and TR helped in the review and editing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.