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Differentiating Tonsillitis From Glandular Fever: Is the Lymphocyte–White Blood Cell Count Ratio Any Help?—Reply
Dennis Malcolm Wolf, BSc, DO-HNS, MRCS;
Ilka Friedrichs, FRCS;
Abbad G. Toma, FRCS
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In reply
We thank Smale and coauthors for their interest in our recently published article on the lymphocyte–white blood cell count ratio in patients with glandular fever and tonsillitis. We realize that using the Monolatex test as a criterion standard skewed our results; however, financial constraints precluded us from using serologic tests as a reference point. The article cited by Smale and colleagues refers to a sensitivity of 93.9% and a specificity of 98.3%.1 These figures were arrived at only after resolution of discrepant results between the 3 kits tested.
The package insert of the Monolatex kit refers to Linderholm et al,2 who quote a sensitivity of 76% and a specificity of 98% in a sample size of 46 and 62 patients, respectively. The fact that their hospital performs such tests routinely indicates how inconsistent and variable . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Differentiating Tonsillitis From Glandular Fever: Is the Lymphocyte–White Blood Cell Count Ratio Any Help?
Emma Louise Smale, Stephen Mcdonald, and Vikram Dhar
Arch Otolaryngol Head Neck Surg. 2007;133(9):952.
EXTRACT
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RELATED ARTICLE
Lymphocyte–White Blood Cell Count Ratio: A Quickly Available Screening Tool to Differentiate Acute Purulent Tonsillitis From Glandular Fever
Dennis M. Wolf, Ilka Friedrichs, and Abbad G. Toma
Arch Otolaryngol Head Neck Surg. 2007;133(1):61-64.
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