A 25-year-old gentleman presented with a 10 days history of fever sore throat and lymphadenopathy. He also had hepatosplenomegaly. His Hb was 14g/dl, few atypical lymphocytes were seen on peripheral smear. LFTs were also deranged. What test should be performed next?
- Epstein-Barr virus infection
- Bone marrow biopsy
- Liver biopsy
- HiV serology
Explanation
The next test to perform is Epstein-Barr virus (EBV) infection.
This is because the presentation of fever, sore throat, lymphadenopathy, hepatosplenomegaly, atypical lymphocytes, and deranged LFTs suggests infectious mononucleosis, commonly caused by EBV.
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