Sore Throat and Lymphadenopathy in an Older Man - CME - Guideline Central

CME

Title
Sore Throat and Lymphadenopathy in an Older Man
Link
Description
A previously healthy 67-year-old man was referred to the otolaryngology department due to a progressively worsening sore throat over several weeks that was associated with an unintentional 5-kg weight loss and night sweats. The patient did not report recent travel, nor autoimmune conditions, and reported only heterosexual intercourse. A physical examination revealed a mobile, nontender left-sided jugular lymph node. Dentition and oropharyngeal examinations were unremarkable. Results of flexible laryngoscopy were normal. Routine blood work findings showed an elevated C-reactive protein level and a polyclonal elevation of gamma globulins. Complete blood cell count, kidney markers, and liver enzymes were normal. Computed tomographic (CT) angiography of the chest, abdomen, and pelvis was unremarkable. Due to substantial worsening of the patient’s symptoms during the next weeks, positron emission tomography/CT was performed, with results showing intense bilateral tonsillar hypermetabolism and abnormal lymph node hypermetabolism above and below the diaphragm (Figure 1A). The patient underwent unilateral tonsillectomy followed by a course of antibiotics and prednisone. On pathologic examination, the tonsils showed lymphoid follicular hyperplasia associated with a polymorphic inflammatory infiltrate without abnormal lymphoid cells and plasmocytes (Figure 1B). Further exploration of the patient’s history revealed that 1 year before the otolaryngology evaluation, he developed a cutaneous eruption on the trunk.
Target Audience
Physicians
Learning Objectives
  • Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
Estimated Duration
60 minutes
Delivery Mode
Online
Format
Online Learning
Specialties
Endocrinology, Internal Medicine - General, Family Medicine, Critical Care, Primary Care
Professions
Physician
Keywords
sore throat
Disclosures and Disclaimers
CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accredited Providers
  • Accreditation Council for Continuing Medical Education
Activity Expiration Date
February 6, 2028
Credit Information
Credit TypeUnits / Unit TypeBoard
AAPA Category 1 Credit1 CreditsACCME- Accreditation Council for Continuing Medical Education
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