A child is 10 years old. The following presentations have developed: sharp pain during swallowing, swollen neck, body temperature rise up to 39,0°C, bright-red finely papular rash all over the body. Pharynx and tonsils are sharply hyperemic ("flaming pharynx"), "crimson tongue". On the tonsils surface there are isolated greyish necrosis focuses. What disease it might be?

Answer options

1. Meningococcal nasopharyngitis
2. Influenza
3. Diphtheria
4. Measles
5. Scarlet fever

Explanation

A child is 10 years old. The following presentations have developed: sharp pain during swallowing, swollen neck, body temperature rise up to 39,0°C, bright-red finely papular rash all over the body. Pharynx and tonsils are sharply hyperemic ("flaming pharynx"), "crimson tongue". On the tonsils surface there are isolated greyish necrosis focuses. What disease it might be? Apart from the ‘crimson tongue’ and ‘flaming pharynx’ which are pathognomonic for Scarlet fever, the presence of papular rash all over the body, with high-temperature confirms the diagnosis.