A patient with sore throat has a positive Paul Bunnel test. The causative organism is :
**Core Concept**
The Paul Bunnell test, also known as the monospot test, is a diagnostic tool used to detect the presence of heterophile antibodies in the serum of a patient. These antibodies are typically produced in response to an infection caused by Epstein-Barr virus (EBV), which is the causative agent of infectious mononucleosis.
**Why the Correct Answer is Right**
The Paul Bunnell test detects the presence of heterophile antibodies, which are produced when EBV infects B lymphocytes. These antibodies are directed against the red blood cells of other species and cause them to agglutinate. The test is based on the principle that EBV-infected individuals produce antibodies against the red blood cells of other species, such as sheep or horse. The presence of these antibodies in the patient's serum indicates a recent EBV infection. EBV infects the B lymphocytes, which then produce the heterophile antibodies.
**Why Each Wrong Option is Incorrect**
**Option A:** Herpes virus - While herpes viruses can cause infections, they do not produce the heterophile antibodies detected by the Paul Bunnell test.
**Option B:** Herpes virus - Herpes viruses are a different family of viruses altogether and do not cause the same type of infection as EBV.
**Option C:** Adeno virus - Adenoviruses can cause respiratory infections, but they do not produce the heterophile antibodies detected by the Paul Bunnell test.
**Option D:** Cytomegalovirus - Cytomegalovirus is a member of the herpes virus family and can cause infections, but it does not produce the heterophile antibodies detected by the Paul Bunnell test.
**Clinical Pearl / High-Yield Fact**
The Paul Bunnell test is a quick and easy way to diagnose infectious mononucleosis, but it is not 100% specific. A negative test result does not rule out the disease, and a positive result should be confirmed with other diagnostic tests.
**β Correct Answer: A. EBV**