Two days later the patient reports to the infrmary with a severe headache, stiff

Question

Two days later the patient reports to the infrmary with a severe headache, stiff neck, nausea and a temperature of 103.5 F.
What is your diagnosis at this time? (BE SPECIFIC!) A 19 yo female recruit inthe US Army was seen in the infirmary with a 3 day history of a "sore throat'', malaise and headache of progressing severity. On examination her throat was erythematous without the presence of pustular or vesicular lesions. She had mild cervical lymphadenopathy and her temperature was 101F. No history of medication or other allergies was reported.

Explanation / Answer

Its streptococcal pharyngitis caused by Group A Streptococci. Erythemarous rash and absence of pustules or vesicles rules out viral infection.

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