[20F] Experiencing severe sore throat with fever, chills, and chest tightness

Patient Description

A 20-year-old female is presenting with a severe sore throat that is exacerbated by swallowing and breathing, accompanied by swollen and red tonsils with pale white patches. The sore throat has persisted for 3 days and is temporarily alleviated by warm foods, although this causes stomach discomfort. The patient reports a severe dry cough that began 1 day ago, along with difficulty in breathing and coughing due to chest tightness. Additionally, the patient is experiencing fever, chills, and a change in voice, including hoarseness. Difficulty in opening the mouth was also noted. No information on recent travel, exposure to sick contacts, or other underlying health conditions was provided.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, possible diagnoses include:

  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu is different from a cold. Flu symptoms usually come on suddenly and may include fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, and fatigue.

    • Treatment usually involves rest, hydration, and over-the-counter remedies for comfort. Antiviral medications may be prescribed in some cases.
  • COVID-19: This is an illness caused by a virus that can spread from person to person. Symptoms can range from mild (or no symptoms) to severe illness and can appear 2-14 days after exposure to the virus. Common symptoms include fever, cough, and difficulty breathing.

    • Treatment involves supportive care to help relieve symptoms. In severe cases, hospitalization may be required.
  • Streptococcal pharyngitis (Strep Throat): This is a throat infection caused by a type of bacteria called Streptococcus. The most common symptoms include a sore throat, difficulty swallowing, and fever. Some people may also have a rash, body aches, or a headache.

    • Treatment usually involves antibiotics to clear the infection, and over-the-counter remedies for comfort.

Please note that this is not an exhaustive list of all possible conditions that could be causing your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover from illness.

  2. Over-the-counter remedies: Over-the-counter pain relievers, decongestants, and cough suppressants may help you feel better.

  3. Seek medical attention: Given your symptoms, it's important to consult with a healthcare provider. They can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as difficulty breathing, persistent pain or pressure in your chest, new confusion, inability to wake or stay awake, or bluish lips or face, seek medical attention immediately.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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10 mo ago

People Also Ask


What are the common symptoms of strep throat and how is it treated?

Common symptoms of strep throat include a sore throat, difficulty swallowing, fever, and swollen, red tonsils with white patches. It is typically treated with antibiotics to clear the bacterial infection, along with over-the-counter remedies to relieve symptoms.


How can I differentiate between the flu and COVID-19 based on symptoms?

Both the flu and COVID-19 can cause fever, cough, and difficulty breathing. However, COVID-19 may also include symptoms like loss of taste or smell, and symptoms can appear 2-14 days after exposure. Testing is the most reliable way to differentiate between the two.


What should I do if I experience difficulty breathing along with a sore throat?

If you experience difficulty breathing along with a sore throat, it is important to seek medical attention immediately, as this could indicate a more serious condition that requires prompt treatment.


Are there any home remedies that can help alleviate a sore throat and cough?

Home remedies for a sore throat and cough include staying hydrated, using a humidifier, gargling with salt water, and consuming warm liquids like tea with honey. Over-the-counter pain relievers and throat lozenges may also provide relief.


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