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Kaplan Qbank USMLE



Author6 Posts
  #1

what are the bugs causing it?

  #2

ricketsia, cmv some more?

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  #3

toxoplasma

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  #4

I am not sure about the ricketsie, but another one is listeria.

  #5

CMV AND TOXOPLASMA

  #6

I found this reference - the way the question is stated and answered it just sounds like you guys are just pulling answers out of the air. Hope this makes more sense:

http://www.emedicine.com/MED/topic1499.htm

"Fever is rarely the sole manifestation of EBV infectious mononucleosis. Because most patients usually have fever, pharyngitis, and lymphadenopathy, the differential diagnosis is that of an infectious mononucleosis–like illness, which includes infectious mononucleosis due to cytomegalovirus (CMV), human herpesvirus 6 (HHV-6), acute HIV, toxoplasmosis, and anicteric viral hepatitis. These causes of infection with presentations similar to infectious mononucleosis have also been termed heterophile-negative infectious mononucleosis because the heterophile test and EBV serology findings are negative in these patients. Rarely, EBV has been reported as a cause of fever of unknown origin (FUO).

During fevers from EBV infectious mononucleosis, temperatures may reach 103-104°F but are usually less than 102°F. Relative bradycardia is a rare finding with EBV mononucleosis and suggests myocardial involvement, eg, myocarditis. Persistent fever or a recrudescence of fever after clinical recovery should suggest an alternate diagnosis."


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