Article Text

Download PDFPDF
An apparently simple case of fever and sore throat
  1. Richard Freeman
  1. Children’s Emergency Department, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Dr Richard Freeman, Children’s Emergency Department, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester LE1 5WW, UK; rjfreeman{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 2-year-old girl presented to the department with a history of fever (>40°C) and increasing dysphagia although she was still able to drink. Forty-eight hours beforehand, she had developed nocturnal grunting and torticollis but there was no history of stridor. There was no other relevant previous medical history nor recent foreign travel and she had been fully vaccinated.

Despite appearing quiet and unwell, her systemic examination (including neurology) was unremarkable, her pharynx appeared normal and there was no evidence of an infectious ‘source’ other than palpable non-tender cervical lymph nodes and torticollis. Routine observations were within normal limits apart from documented fever and an associated mild tachycardia.

Question 1

What life-threatening differentials should be considered in a child presenting with a fever and sore throat? …

View Full Text


  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.