Case 31-2021: A 21-Year-Old Man with Sore Throat, Epistaxis, and Oropharyngeal Petechiae

A Man with Sore Throat, Epistaxis, and Oropharyngeal Petechiae A 21-year-old man with sickle cell trait presented with sore throat, epistaxis, and petechiae of the oropharynx. The hemoglobin level was 9.8 g per deciliter, the platelet count 1000 per microliter, and the white-cell count 670 per microliter. A test for SARS-CoV-2 RNA was positive. A diagnostic test was performed.

Automated summary

A 21-year-old man with sickle cell trait presented with symptoms including sore throat, epistaxis, and oropharyngeal petechiae. Laboratory tests revealed low levels of hemoglobin, platelets, and white blood cells. A positive test for SARS-CoV-2 RNA prompted further diagnostic testing.