Doctors had this diagnosis licked

A course of antibiotics proved fruitful

When a young girl presented to a paediatric clinic with a bumpy, swollen tongue, it sowed the seeds of suspicion for a bacterial infection.

Photo: The New England Journal of Medicine ©2021

The five-year-old had a three-day history of fever, sore throat and painful swallowing.

On examination, doctors noted dry mucous membranes, anterior cervical lymphadenopathy and&nbsp