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132017 Unknown

A 4-year-old child presented with fatigue, malaise, fever, sore throat, headache, nausea, abdominal pain and myalgia. On examination generalized lymphadenopathy and hepatosplenomegaly was noted. There was marked tonsillar enlargement along with palatal petechiae, rashes and edema of the eyelids. Peripheral smear is given below.Paul Bunnel test was performed and was positive. All of the following except one can be caused by the above organism?

ANasopharyngeal carcinoma
BNon Hodgkins Lymphoma
CDiffuse gastric carcinoma
DPrimary effusion lymphoma.
Unknown
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