Other infections that produce these antibodies create lower antibody levels than those by the Epstein-Barr virus. In their simplest form, heterophile antibody-type ...September2003-Volume25-Issue9PreviousArticleNextArticleArticleasEPUBExportAllImagestoPowerPointFileAddtoMyFavoritesColleague'sE-mailisInvalidYourName:(optional)YourEmail:Colleague'sEmail:Separatemultiplee-mailswitha(;).Message:Thoughtyoumightappreciatethisitem(s)IsawatEmergencyMedicineNews.SendacopytoyouremailYourmessagehasbeensuccessfullysenttoyourcolleague.Someerrorhasoccurredwhileprocessingyourrequest.Pleasetryaftersometime.EndNoteProciteReferenceManagerSavemyselectionPediatricRounds:Part3inaSeriesKing,BrentR.MDAuthorInformationDr.Kingisanassociateprofessorofemergencymedicineandpediatrics,andthechairmanofthedepartmentofemergencymedicineattheUniversityofTexasHoustonMedicalSchool.ArashfollowingtreatmentwithamoxicillininanadolescentisevidencethattheactualdiagnosisismononucleosisEmergencyMedicineNews:September2003-Volume25-Issue9-p15,18Rashescanbeassociatedwithinfectiousmononucleosis,andthelikelihoodofrashincreasesgreatlyforpatientswithinfectiousmononucleosiswhoreceiveampicillinoramoxicillin.Therashisgenerallydescribedasanerythematousmaculopapularexanthem,andtypicallyoccursbetweenfiveandninedaysaftertheinitiationofantibiotictreatment.Thepathophysiologyofthisrashhasnotyetbeendescribed,butitdoesnotseemtorepresentatrueallergicreaction.Intheadolescentwithapparentstreptococcalpharyngitis,arashfollowingtreatmentwithamoxicillinshouldbeconsiderdefactoevidencethattheactualdiagnosisismononucleosis.ThemostcommontestfordetectingEpstein-BarrvirususesheterophileantibodiesAlthoughrare,afewneurologicconditionshavebeenassociatedwithinfectiousmononucleosis.ThemostcommonareGuillain-Barresyndrome,cranialnervepalsies,asepticmeningitis,andmeningoencephalitis.Additionally,averyrareneuropsychiatricconditionknownasmetamorphopsiasometimesoccurs.AlsoknownastheAliceinWonderlandsyndrome,thisconditionresultsinsignificantdeficitsinpe