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Systemic infections including Epstein-Barr virus (infectious mononucleosis), cytomegalovirus, toxoplasmosis, HIV, tuberculosis, cat scratch disease (Bartonella), and certain sexually transmitted infections should be considered based on clinical context and risk factors

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Severe Allergic Reactions Severe allergic reaction, like anaphylaxis, is a medical emergency characterized by difficulty breathing, swelling of the throat or tongue, and chest tightness

Tramadol is an opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain