A 19-year-old Caucasian woman presented in mid-August 2018 to an Ohio hospital with
a 10-day history of severe persistent sore throat. She had recently worked as a camp
counselor at Martha's Vineyard. She had 2 prior emergency department visits in Massachusetts
for acute onset of sore throat, fever, and abdominal pain. She presented with pharyngeal
erythema, which progressed to pharyngeal exudates. She was treated with amoxicillin
for bacterial pharyngitis. Despite completion of treatment, symptoms worsened.
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Article info
Publication history
Published online: June 04, 2020
Footnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
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© 2020 Elsevier Inc. All rights reserved.
