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.