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A 19-year-old woman presented to the emergency department with a 10-day history of intermittent odynophagia, voice changes, and fever. Before her visit to the emergency department, she was treated with azithromycin and prednisone for pharyngitis and, subsequently, with 2 days of penicillin and a tapered dose of prednisone. She was otherwise healthy. Our examination revealed bilateral swelling of the soft palate with a midline uvula pushed anteriorly (Panel A, arrows). A computed tomographic scan of the neck after the administration of intravenous contrast material showed bilateral peritonsillar abscesses (Panel B, arrows). The otolaryngologist performed bilateral fine-needle aspiration and examined the . . . [Full Text of this Article] |