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Although the causal relationship between EB virus infection and SS is not yet clear in current research, most studies support that the EB virus may be involved in the first stage of immune tolerance failure [33]

A paradoxical reaction should be suspected if the symptoms were worse after the antibiotic therapy based on susceptibility testing results and proper surgical interventions, especially if patients had taken corticosteroids before being admitted

doi: 10.1016/j.cyto.2015.05.015 55 BaiYZhuRTianYLiRChenBZhangHet al