A Child’s Fever & ‘Doughnut’ Lesions

Discover the cause behind a child’s sore throat, fever, and classic ‘doughnut’ lesions. A key Clinical Sign in pediatric pharyngitis.

Group A streptococcus


An otherwise healthy 9-year-old girl presented to the primary care clinic with a sore throat and fever. Her temperature was 38.5°C. Physical examination revealed swollen and tender cervical lymph nodes, an inflamed uvula, enlarged tonsils, and “doughnut” lesions on both the hard and soft palates. What is the underlying cause?

What is the most likely diagnosis?

Group A streptococcus
Epstein-Barr virus
Adenovirus
Measles virus
Neisseria gonorrhea

Doughnut Lesions, Group A Streptococcus, Pediatrics, Pharyngitis, Sore Throat

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