2. Clinical Case
Patient is a 20-year-old female patient who initially presented with
pharyngitis and was evaluated via telemedicine by her physician who
prescribed 5- day course of azithromycin for presumed beta hemolytic
streptococcal pharyngitis due to exposure to person who tested positive
for rapid group A beta hemolytic streptococcus and Epstein-Barr virus.
She was initially studying at home and traveled to Florida during her
spring break to visit her college friends. She slept on a sofa in a
college dormitory for the week and shared utensils. One of her friends
tested positive for COVID-19 PCR about three months ago.
Due to persistence of sore throat, fever, chills and lymphadenopathy she
came to the Emergency Room (ER) of her local hospital 1 day prior to
admission.
Additionally, her mother works in at an elderly center and routinely
tested negative for COVID-19 biweekly. No other family members were
sick.