Strawberry Tongue Associated With Epstein-Barr Virus Infection in a Seven-Year-Old Boy: A Case Report
Bibliographic record
Abstract
Strawberry tongue is classically associated with Kawasaki disease and scarlet fever, but it may also occur in other infectious or toxin-mediated conditions. We report a seven-year-old boy who presented with nasal obstruction, a generalized erythematous rash, and a strawberry tongue. He was afebrile and had no lymphadenopathy, hepatosplenomegaly, or pharyngeal exudate. Laboratory tests revealed mild liver enzyme elevation and a negative rapid antigen test for Group A Streptococcus. Serology confirmed primary Epstein-Barr virus (EBV) infection. No treatment was given, and all findings resolved spontaneously within 10 days of presentation. Although a causal relationship cannot be firmly established, careful exclusion of other etiologies supports EBV infection as the most plausible explanation for the development of strawberry tongue. This case highlights that EBV should be considered in the differential diagnosis of strawberry tongue when typical features of more common causes are absent.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".