- 5 yrs old with mild fever,dysphasia, left sided neck swelling. There is a patch on tonsil which bleeds on removal, name the disease and its complication. Discuss the d/d ,complication and management
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- Discussion: 5 yr with unknown immune status has fever, neck swelling, membrane on tosil which bleeds is likely to membranous tonsillitis. The degree of fever being mild, neck swelling ,bleeding membranous tonsiltis,dysphasia with unknown immune status is likely to have diphtheria,eventhough other causes of membranous tonsillitis are to be considered. The characteristic adherent membrane, extension beyond the faucial area, dysphagia, and relative lack of fever help differentiate diphtheria from exudative pharyngitis caused by Streptococcus pyogenes or Epstein-Barr virus
- diphtheria case scenario
Dr. Jayaprakash
Superintendent, ICH.
Institute of Child Health.
Gov. Medical College Kottayam.
Kerala, India.