12 year old boy came with fever, sorethroat and cervical lymph node enlargement. Throat swab positive for group A beta hemolytic streptococci and started on penicillin. But he came back with worsening of symptoms even while on treatment. Next step is:

Question

Accepted Answer

Start azithromycin

Answer

Blood monospot test and CBC

Answer

IgE for IMN

Answer

Presume it as EBV and start acyclovir and prednisolone

12 year old boy came with fever, sorethroat and cervical lymph node enlargement. Throat swab positive for group A beta hemolytic streptococci and started on penicillin. But he came back with worsening of symptoms even while on treatment. Next step is:

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