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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Sore Throat With Increased WBC And Liver Enzymes?

my 17 y.o. daughter is suffering from fatigue, has a sore throat, and states she is not getting enough sleep. The physician finds swollen lymph nodes; an enlarged spleen; and tonsillitis. The CBC showed an increased WBC and normal RBC. The liver function test showed increased liver enzymes, and a positive heterophil antibody test what is my daughter's diagnosis?
Wed, 23 Jul 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on the symptoms and investigations, it appears to be infectious mononucleosis. My comments are as follows:
1. Sore throat with lymph node enlargement.
2. Splenomegaly and liver enzymes elevated.
3. Positive heterophile antibody test.

Based on above my diagnosis is Infectious mononucleosis.
Close followup is necessary for this viral infection by Epstein Barr virus.
Any further queries, happy to help again.
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What Can Cause Sore Throat With Increased WBC And Liver Enzymes?

Hi, Thanks for asking. Based on the symptoms and investigations, it appears to be infectious mononucleosis. My comments are as follows: 1. Sore throat with lymph node enlargement. 2. Splenomegaly and liver enzymes elevated. 3. Positive heterophile antibody test. Based on above my diagnosis is Infectious mononucleosis. Close followup is necessary for this viral infection by Epstein Barr virus. Any further queries, happy to help again.