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Case report
Glandular fever and Epstein-Barr virus-related polyneuropathy: a life-threatening complication
  1. Colm Brendan Dorris,
  2. Donna Gallagher and
  3. Myles Black
  1. Otorhinolaryngology, Royal Victoria Hospital, Belfast, UK
  1. Correspondence to Colm Brendan Dorris; cdorris02{at}


An 18-year-old woman presented with a 1-week history of sore throat, lethargy and fevers. She was subsequently diagnosed with glandular fever and was managed conservatively. Following 1 week of conservative measures, she developed acute upper airway obstruction requiring emergency surgical tracheostomy insertion. Further investigation including electromyography demonstrated multiple cranial nerve neuropathies.

  • ear
  • nose and throat
  • ear
  • nose and throat/otolaryngology
  • infectious diseases
  • cranial nerves
  • otolaryngology / ENT

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  • Contributors CBD: lead author. DG: review of the manuscript. MB: supervising consultant, patient under his care, review of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.