A 3 year old female child presents to the walk-in clinic with a 4 day history of sore throat, runny nose, cough and hoarse voice. The child had fever on day 1 of symptoms.

On physical exam, the child is afebrile with temperature of 37.3 and looks well.  Examination of the neck reveals palplable cervical lymphadenopathy bilaterally.  Visualization of the orophrynx shows swollen tonsils.  Remainder of the examination is normal.

What is the most likely diagnosis?

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Mike Paget


Manager - Academic Technologies - Cumming School of Medicine

Dr. Hosanna Au


Dr. Andrew Latchman

McMaster Pediatrics