14 year old girl presents to the Emergency Department (ED) with a 4 day history of fever (38.7C), sore throat and odynophagia.
On examination, she appeared comfortable but was pale, had lymphadenopathy to her anterior cervical chain and was pyrexial at 38.7°C. Whilst she had no drooling, she had been unable to take oral fluids or analgesia due to the pain when swallowing. She was unable to fully open her mouth due to pain, so an initial examination of her throat was unsuccessful. Remainder of examination was normal. (more…)