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Clinical Challenge
September 24, 2020

Seemingly Innocuous Sore Throat in a 21-Year-Old Man

Author Affiliations
  • 1Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore
JAMA Otolaryngol Head Neck Surg. 2020;146(11):1077-1078. doi:10.1001/jamaoto.2020.2594

A healthy 21-year-old Chinese man with no relevant medical history presented to multiple general practitioners for a recurrent sore throat associated with hoarseness of voice for 3 months’ duration. Despite having taken multiple courses of oral antibiotics, he saw no improvement in his symptoms. Over the course of 3 months, the patient went on to notice swelling and redness of his left ear (Figure 1A) that would resolve and recur every few weeks.

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