A 14 year-old adolescent presents to the clinic with his mot…
A 14 year-old adolescent presents to the clinic with his mother. He has had a sore throat or 2 days with fever to 101F. He has had a poor appetite and is only drinking liquids since the previous day. He also complains of abdominal pain. He denies earache, nasal congestion or cough. Two of his schoolmates have been out of school with similar symptoms. During the physical examination the APN notes posterior cervical adenopathy, + 3 tonsils with a yellow exudate bilaterally and there are petechiae on the roof of his mouth. Which of the following is the most likely cause of the patient’s symptoms?
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