Dr Julia Markham writes that ‘splenomegaly is common’ in glandular fever (GF) (GP, 16 February).
I spent two years working in an infectious disease hospital where I saw many cases of GF and would conscientiously palpate the abdomen every time. I never felt a spleen. I don’t think that this was due to faulty technique because I have been able to feel enlarged spleens in other conditions.
If the experience of others is similar to mine we should re-write the textbooks, to the effect that splenomegaly is rare in GF.
Dr Justin Robbins