Author:
Peltekis Georgios,Palaskas Dimitrios,Anyfantakis Dimitrios,Symvoulakis Emmanouil K.,Kyrmizakis Dionysios E.
Abstract
ABSTRACT
Throat pain is one of the most frequent complaints prompting patient visits to healthcare
professionals. Primary care physicians being the fi rst contact point are frequently encountered
with symptoms such as sore throat and odynophagia. However, high level of diagnostic
uncertainty exists when the oropharyngeal examination is normal despite patients’
complaints of severe pain. We present four Caucasian Greek patients, two males aged 47
and 57 years and two females aged 32 and 47 years respectively admitted to an Ear Nose
and Throat department of a general hospital, with severe throat pain and initially normal
oropharyngeal examination. This case series highlights the necessity for a high level of
suspicion on the part of the primary care physicians when facing patients complaining of
severe throat pain since their symptoms may indicate conditions such as supraglottitis, lingual
tonsillitis or pemphigus vulgaris. A careful clinical examination, including an indirect
laryngoscopy, is required especially when the initial oropharyngeal examination is normal.
Cited by
3 articles.
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