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Diagnosis Detective - January 2024

January 1, 2024


Red Book Online Presents: Diagnosis Detective | January 2024

Contributed by Lisa Kafer, MD, FAAP, Coastal Children’s Clinic 

An 8-year-old presents with acute onset of fever to 102°F, sore throat, and headache. The child has a slight runny nose but their mother reports the child “always has a runny nose”. There is no cough or diarrhea but the child did throw up on the way to your office. The child’s mother also mentions that the school nurse said there have been cases of flu, RSV, and strep throat in the child’s classroom. During your exam, the child says they do not feel well. During the exam, which is otherwise completely normal, you note that the child’s throat shows inflammation of the oropharynx with petechiae on the soft palate.

Child's open mouth shows inflammation of the oropharynx with petechiae on the soft palate, small red spots.

Courtesy of Centers for Disease Control

© 2024 American Academy of Pediatrics. All rights reserved.


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