- 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.
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