(M2.PD.16.4688)
An 18-year-old male with a history of recurrent pharyngitis presents to your clinic with fever, sore throat and decreased oral intake. The patient states that his symptoms have been present for about 1-week, although over the past couple of days they have gotten much worse. The patient's vital signs are as follows: temperature is 102.2 deg F (39.0 deg C), pulse is 94/min, blood pressure is 110/68 mmHg and respirations are 14/min. On physical exam the patient appears uncomfortable, barely opening his mouth when speaking. There is tender lymphadenopathy bilaterally. Examination of the oropharynx is demonstrated in Figure A. A heterophile test is performed and later comes back negative. What is the most likely diagnosis in this patient?
QID:
107548