makiko consulted me on 1 august 2016 for a problem of recurrent fever and sore throat in the last 6 months.
she was referred to consult me from Dr Chihara of japanese clinic.
the pain was severe on most occasions.
there was aiso pain over the cheeks.
there is no history of drug allergy.
she was treated with temporary improvement with antibiotics.
ENT Examination including endiscopy of the nose and pharynx identified bilateral enlarged in flamed unhealthy tonsils.
there was a right septak ridge.
the rest of the exam was normal.