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1. Why was a conjunctival biopsy performed? Since symptoms did not improve, and the conjunctival smear was negative, other occult micro-organisms (eg, fungi, mycobacteria) could have been detected by microscopic examination or culture of the specimen. Moreover, lymphoproliferative diseases without systemic manifestation may be detected.

2. How would you manage the patient? EBV infections are generally self-limiting, and only symptomatic and/or …

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