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Human-to-human transmission of the persistent infection establishing Epstein-Barr virus (EBV) occurs via saliva. Tonsils act as important portal of entry and exit of EBV. The contagiousness of pediatric EBV carriers and the role played by tonsillar enlargement (TE) are not known.

Pediatric Epstein‐Barr Virus Carriers With or Without Tonsillar Enlargement May Substantially Contribute to Spreading of the Virus