A previously healthy 16-year-old girl presented to her physician because of a two-day history of sore throat, fatigue, fever, headache, and vomiting. On examination, her temperature was 36.7°C. She had mild erythema and white plaques on her tonsillar pillars and mild tenderness of the anterior neck, without lymphadenopathy.

Acute tonsillitis is a mild, self-limited viral infection of the tonsils, causing mild erythema, white plaques, and tenderness in the anterior neck without lymphadenopathy.

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A Pain in the Neck

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