A 45-year-old Female with an Atypical Presentation of Pharyngitis.
AIDS
HIV
oral hairy leukoplakia
oral lesion
Journal
Clinical practice and cases in emergency medicine
ISSN: 2474-252X
Titre abrégé: Clin Pract Cases Emerg Med
Pays: United States
ID NLM: 101718968
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
15
02
2020
accepted:
22
02
2020
entrez:
20
5
2020
pubmed:
20
5
2020
medline:
20
5
2020
Statut:
epublish
Résumé
Emergency physicians are trained to treat a variety of ailments in the emergency department (ED), some of which are emergent, while others are not. A common complaint seen in the ED is a sore throat. While most sore throats are easily diagnosed and treated, less common causes are often not considered in the differential diagnoses. Therefore, the purpose of this case study was to present an atypical case of sore throat and discuss differential diagnoses. The patient was a 45-year-old female who presented to the ED with a three-day history of sore throat that was exacerbated by eating and drinking. The patient was not on any prescription medications, but tried over-the-counter medications for the sore throat without any improvement in symptoms. Review of systems was positive for sore throat, fevers, and chills. Physical examination of her oropharynx revealed mildly dry mucous membranes with confluent plaques and white patchy ulcerative appearance involving the tongue, tonsils, hard palate, and soft palate. Rapid streptococcal antigen, mononucleosis spot test, and KOH test were performed and found to be negative. After initial testing was negative, a follow-up complete blood count with differential and complete metabolic profile were ordered. The patient was found to have decreased lymphocytes and platelets. Based upon those results, a diagnosis was made in the ED, the patient was started on medication, and further laboratory workup was ordered to confirm the diagnosis. ED providers should consider non-infectious as well as infectious causes for a sore throat, as this might lead to a diagnosis of an underlying condition.
Identifiants
pubmed: 32426682
doi: 10.5811/cpcem.2020.2.46974
pii: cpcem.2020.2.46974
pmc: PMC7219994
doi:
Types de publication
Journal Article
Langues
eng
Pagination
234-240Informations de copyright
Copyright: © 2020 Schander et al.
Déclaration de conflit d'intérêts
Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.
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