Violation

A 20-year old male presents with a threeday history of an acute generalized gingivitis. He has malaise, fever and bilateral cervical lymphadenopathy. A blood examination reveals Hb: 8.9g/100ml Platelets: 82,000/mm3 Red blood cell count: 3,900,000/mm3 White blood cell count: 870,000/mm3 Normal Values: Hb: 14-18g/100ml Platelets: 150,000-400,000/mm3 Red blood cell count: 4-5million/mm3 White blood cell count: 5,000- 10,000/mm3 The most likely diagnosis is

acute myelogenous leukemia

thrombocytopenic purpura

infectious mononucleosis

acute necrotizing ulcerative gingivitis

Please describe the matter of abuse