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

On physical exam, the child is afebrile with temperature of 37.8 and looks tired.  Examination of the neck reveals palplable cervical lymphadenopathy bilaterally.  Visualization of the orophrynx shows palatal petechiae.  Remainder of the examination is normal.

What is the most likely diagnosis?

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Authors

Mike Paget

mkpaget@ucalgary.ca

Manager - Academic Technologies - Cumming School of Medicine

Dr. Hosanna Au

Reviewer

Dr. Andrew Latchman

McMaster Pediatrics