European Journal of Case Reports in Internal Medicine (Nov 2020)

Infectious Mononucleosis Presenting with Loss of Taste and Smell During the SARS-CoV-2 Pandemic?

  • Krishna Nareshkumar Patel,
  • Muhammad Hussein,
  • Amir Khalil,
  • Najeeb Rehman,
  • Hazim Mahdi,
  • Muhammad Jamil Malik,
  • Salim P L Meghjee

DOI
https://doi.org/10.12890/2020_002048

Abstract

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A 53-year-old woman presented during the SARS-CoV-2 pandemic with an 18-day history of pyrexia, myalgia, progressive dyspnoea and loss of taste and smell after a close contact had tested positive for SARS-CoV-2. In this period two swabs had been negative for SARS-CoV-2. Clinical examination was normal. During this admission a third SARS-CoV-2 swab was negative, and investigations showed mildly elevated inflammatory markers, mildly deranged liver function, atypical lymphocytes on a blood film and a normal chest x-ray. Her Epstein–Barr virus serology was positive and thus the diagnosis was infectious mononucleosis.

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