28 year old male presented to the emergency deaprtment with a 1 day history of sore throat and fever. Upon physical examination, there was tonsillar swelling noted without the prescence of pus. A throat swab was conducted and a rapid antigen detection test for Group A Streptococcus (GAS) was performed in the ED. Results were negative. A throat swab for the culture was also collected. The patient was sent home with a diagnosis of presumed viral pharyngitis. The next day, the patient returned to the ED with worsening sore throat and difficulty swallowing. Pus was seen on the tonsils and the uvula was deviated towars one sight of his throat.
What is the correct diagnosis of the disease and the causative agent(s).
A 28 year old male presented to the emergency deaprtment with a 1 day history of sore throat and fever. Upon physical examination, there was tonsillar swelling noted without the prescence of pus. A throat swab was conducted and a rapid antigen detection test for Group A Streptococcus (GAS) was performed in the ED. Results were negative. A throat swab for the culture was also collected. The patient was sent home with a diagnosis of presumed viral pharyngitis. The next day, the patient returned to the ED with worsening sore throat and difficulty swallowing. Pus was seen on the tonsils and the uvula was deviated towars one sight of his throat.
Viral Agents. Bacteria
Rhinovirus Group A streptococcus
Adenovirus Group C Streptococcus
Coronavirus G SStreptococcus
Epstein-Barr virus Archanobacterium haemolyticum
Fusobacterium nucleatum
Cornyebacterium diphtheriase
Neisseria gonnorhoeae
Lab Testing
The throat was cultured for Group A streptococcus. The sample was plated on a blood agar plate and incubated for 24 hours prior to reading the culture. A
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