differential diagnosis

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The differential includes:-

  • infectious mononucleosis - this may cause a severe membranous tonsillitis. Diagnosis confirmed by Bunnell test.
  • scarlet fever - rare - streptococcal tonsillitis with added features caused by a specific toxin. The condition is characterised by a punctate erythematous rash, whiteness around the mouth, and a 'strawberry and cream' tongue.
  • diphtheria
  • agranulocytosis

Last reviewed 01/2018

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