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[Answered]: A 14-year-old girl is admitted to the hospital…

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A 14-year-old girl is admitted to the hospital with a 3-week history of sore throat leading to significantly decreased oral intake. She reports progressive worsening of a painful sore throat resulting in avoidance of nearly all oral intake and an associated 22-lb weight loss. She has presented to care twice, 2 weeks and 2 days earlier. During each of those visits, rapid group A streptococcal (GAS) antigen testing and follow-up GAS culture were negative. She was discharged with symptomatic care for presumed viral pharyngitis. She vomited twice but has not had fevers, cough, rash, or diarrhea. Her medical history is noncontributory. Her immunizations are up to date. She reports one lifetime sexual partner and reports condom use with every encounter. A throat swab cultured on resulted in positive cultures for Neisseria gonorrhoeae which were confirmed after further workup. Due to these results the physician should recommend .

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