Case Challenge #5

  • HPI: A 28 yo female presents with fever and cervical LAD. She describes acute onset of fever and unilateral neck swelling. No sore throat, rash, or dental pain. She has a pet cat, but no history of scratches or bites.
  • Physical exam: Tmax 101.3, unilateral anterior and posterior cervical LAD. Otherwise unremarkable.
  • Labs: WBC 4k, 12% atypical lymphs. Monospot negative, EBV serologies consistent with prior exposure.
  • Imaging: CXR wnl
  • Lymph Node Biopsy: necrotizing lymphadenitis with histiocytes and nuclear debris, preserved architecture. Organism stains negative.

(A note to email subscribers: the question, answer choices, and voting is only visible on our actual website; click the link above and vote for your answer choice!)

One thought on “Case Challenge #5”

Comments are closed.