Infectious Mononucleosis: Laboratory DiagnosisPart II in a S ... | Infectious mononucleosis Lab

May2001-Volume23-Issue5PreviousArticleNextArticleArticleasEPUBExportAllImagestoPowerPointFileAddtoMyFavoritesColleague'sE-mailisInvalidYourName:(optional)YourEmail:Colleague'sEmail:Separatemultiplee-mailswitha(;).Message:Thoughtyoumightappreciatethisitem(s)IsawatEmergencyMedicineNews.SendacopytoyouremailYourmessagehasbeensuccessfullysenttoyourcolleague.Someerrorhasoccurredwhileprocessingyourrequest.Pleasetryaftersometime.EndNoteProciteReferenceManagerSavemyselectionINFOCUSRoberts,JamesR.MDAuthorInformationDr.RobertsisthechairmanofthedepartmentofemergencymedicineandthedirectorofthedivisionoftoxicologyatMercyHealthSystemsandaprofessorofemergencymedicineandtoxicologyatDrexelUniversitySchoolofMedicine/TheMedicalCollegeofPA/HahnemannUniversityinPhiladelphia.AcompendiumofDr.JamesRoberts'InFocuscolumnsisavailableinbookform.The302-pagevolume,InFocus:Roberts'PracticalGuidetoCommonMedicalEmergencies,isavailablefromLippincottWilliams&Wilkinsfor$49.95bycalling(800)638-3030.EmergencyMedicineNews:May2001-Volume23-Issue5-p8,10,13doi:10.1097/01.EEM.0000288653.35375.62MetricsAbstractTherearenumerousserologicteststodiagnoseEpsteinBarrvirusmononucleosis,butlaboratorytestingisnotasstraightforwardasonemightsuspectEverypatientwithasorethroatdoesnotneedathroatculture,CBC,orASOtitertest,nordoeseverypatientwiththesesymptomsandanoccasionalerrantlymphnodeneedaworkupforinfectiousmononucleosis.Whenanemergencyclinicianisfacedwithsomespecificscenarios,testingfortheEpsteinBarrvirusseemsappropriate.Laboratorytestingforinfectiousmononucleosisissomewhatcomplicated,andtobeacademicinsomecases,thework-upinvolvesmorethanjustorderingamonospottest.TherearecurrentlynumerousserologicteststodiagnoseEpsteinBarrvirusmononucleosis,andasurfeitofinvestigationstodiagnoseotherviraletiologies.Inshort,laboratorytestingisnotasstraightforwardasonemightsuspect.Manynascentinfectionswillescapelaboratorydetectionaltogetherunlesstheclinicianisawareofthelimitationsoftheclinicallaboratory.DiagnosisofEpstein-BarrVirus-relatedDi

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