{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:05:42Z","timestamp":1789578342380,"version":"build-2803163510"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Infectious mononucleosis (IM) is a common cause of pharyngitis in children, particularly among adolescents. IM is a self-limiting condition, and differentiating it from other causes of pharyngitis that require treatment is key to its management. One such condition is group A streptococcal (GAS) pharyngitis, which can be complicated by acute rheumatic fever if left untreated. In this report, we present a case of suspected IM with a positive GAS rapid antigen detection test, highlight the evidence surrounding these two conditions, and discuss the clinical dilemma of performing GAS testing in patients with an IM-like presentation.<\/jats:p>","DOI":"10.1093\/pch\/pxag080","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:00:19Z","timestamp":1783598419000},"page":"620-623","source":"Crossref","is-referenced-by-count":0,"title":["Streptococcal pharyngitis, infectious mononucleosis, or both? A diagnostic dilemma in pediatric pharyngitis"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6430-4957","authenticated-orcid":false,"given":"Kazuki","family":"Iio","sequence":"first","affiliation":[{"name":"Division of Paediatric Emergency Medicine, Department of Paediatrics, SickKids, University of Toronto , Toronto, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horton James","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Paediatric Emergency Medicine, Department of Paediatrics, SickKids, University of Toronto , Toronto, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evridiki","family":"Fera","sequence":"additional","affiliation":[{"name":"Division of Paediatric Emergency Medicine, Department of Paediatrics, SickKids, University of Toronto , Toronto, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"2026091612570794900_pxag080-B1","first-page":"71","article-title":"Infectious mononucleosis. 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