Case report
A 24-year-old male patient presented with fever (38.5°C), throat pain,
headache, and diffuse myalgia over the course of the last few days.
Examination of the oral cavity revealed an ulcerated right tonsil that
appeared twice the size of the contralateral tonsil, which was cryptic
but showed no signs of inflammation (figure 1). No trismus or signs of
abscess were observed, and flexible fiberendoscopy ruled out airway
obstruction. Blood tests showed an elevated white blood cell count, and
the monospot test for infectious mononucleosis was negative.
Initial treatment included regular analgesia, chlorhexidine mouthwash,
and empirical antibiotic therapy. After 10 days, the patient fully
recovered.