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An Unusual Sore Throat

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: William K. Karle, MD, Department of Otolaryngology–Head & Neck Surgery, Oregon Health and Science University (OHSU), Physician’s Pavilion 250/PV01, Northwest Clinic for Voice and Swallowing, 3181 SW Sam Jackson Park Rd, Portland, OR 97239 (karle@ohsu.edu).

Published Online: May 2, 2019. doi:10.1001/jamaoto.2019.0612

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References
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Hierholzer  JC, Stewart  JA, Himmelwright  JP, Everett  RM.  Herpes type 2 infection with unusual generalised manifestations and delayed diagnosis in an adult male.  J Infect. 1983;6(2):187-192. doi:10.1016/S0163-4453(83)92973-0PubMedGoogle ScholarCrossref
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Dunmire  SK, Hogquist  KA, Balfour  HH  Jr.  Infectious mononucleosis.  Curr Top Microbiol Immunol. 2015;390(Pt 1):211-240.PubMedGoogle Scholar
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Morris  SR, Klausner  JD, Buchbinder  SP,  et al.  Prevalence and incidence of pharyngeal gonorrhea in a longitudinal sample of men who have sex with men: the EXPLORE study.  Clin Infect Dis. 2006;43(10):1284-1289. doi:10.1086/508460PubMedGoogle ScholarCrossref
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