Fulminant hepatitis due to infectious mononucleosis.

Clinical examination revealed an alert child with a tinge of jaundice. An erythematous rash was noted over the anterior abdominal wall. Multiple firm, mobile, discrete and non-tender lymph nodes, about 1 cm in diameter, were palpable in the cervical and inguinal regions. The throat was normal. The liver was enlarged 4 cm below the right costal margin in the mid-clavicular line and was soft and non-tender. The spleen was enlarged 4 cm below the left costal margin. A clinical diagnosis of infectious mononucleosis with hepatitis was made.