28th August 2020

An 11-year-old girl was brought to accident and emergency by her mother due to difficulty breathing

An 11-year-old girl was brought to accident and emergency by her mother due to difficulty breathing. She had been unwell for the last 4 days with a fever. She had been generally lethargic but over the last day has started to struggle to breath and has developed a hoarse voice. On examination, she is awake and responsive, is febrile with a temperature of 38.4, heart rate of 114, and respiratory rate of 24. Her neck appears swollen and on examination of the throat, a grey mass was seen on the left palate and tonsil.  

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.