An NP student in their final semester evaluates a 16-year-ol…
An NP student in their final semester evaluates a 16-year-old with fever, sore throat, and posterior cervical lymphadenopathy. Despite a negative rapid strep test, the student, feeling confident in their skills and convinced by the patient’s appearance, prescribes amoxicillin for presumed streptococcal pharyngitis. The patient later develops a diffuse rash and fatigue. Subsequent labs confirm Epstein-Barr virus (infectious mononucleosis), and the rash was a reaction to amoxicillin in mono.