October 7th 2010
Ill-appearing 4-year-old girl with high-grade fever, without chills or rigors, and cough of 3 days’ duration. She also had a sore throat and was unable to move her neck because of pain. No history of rhinorrhea, difficulty in breathing, vomiting, or diarrhea. She had had tonsillitis 2 weeks earlier that was treated with a 1-week course of amoxicillin. Medical history otherwise unremarkable. Immunizations up-to-date.