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The patient is a 6 years old male who had been in good health with no significant medical problems. In late September he presented to his paediatrician’s office with a complaint of sore throat, fever, headache, and swollen glands in his neck for the past 36 h. On physical examination (PE), he had fever of 38ºC, a red posterior pharynx, and yellowish exudates on his tonsils, and multiple, enlarged, tender cervical lymph nodes.

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