Sunday, December 14, 2014

A 25-year-old woman presents with 1 day of fever to 38.3°C (101°F); sore throat; dysphagia; and a...

A 25-year-old woman presents with 1 day of fever to 38.3°C (101°F); sore throat; dysphagia; and a
number of grayish- white papulovesicular lesions on the soft palate, uvula, and anterior pillars of the tonsils .

. The patient is most likely infected with which of the following?

A. Candida albicans

B. Coxsackievirus

C. Herpesvirus

D. HIV

E. Staphylococcus lugdunensis


The answer is B.These lesions are diagnostic of herpangina, which is caused by coxsackievirus A. They are typically round and discrete, which helps differentiate them from thrush caused by Candida spp. Unlike herpes simplex virus stomatitis, herpangina lesions are not associated with gingivitis. Lesions are typically concentrated in the posterior portion of the mouth. Herpangina usually presents with dysphagia, odynophagia, and fever; these lesions can persist for several weeks. The lesions do not ulcerate.

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