A patient with respiratory obstruction in glandular fever.

, , 145-146. Glandular fever is a common disease, and one of the most consistent features is enlargement of tonsillar and nasopharyngeal lymph nodes. This is usually of little serious consequence and, if difficulty in swallowing or breathing occurs, responds rapidly to treatment. We report a case of glandular fever where lymph node enlargement caused respiratory obstruction which required urgent tracheostomy. Some other uncommon features are discussed.