Question

A patient gives H/o hoarseness in voice & presenting with clinical condition as shown in the image. Identify the lesion:

• A. Membranous tonsillitis
• B. Follicular tonsillitis
• C. Diphtheria
• D. Aphthous ulcer

Answer 1

The Correct Option is C

Diphtheria is characterized by the presence of a pseudomembrane in the throat, which can be seen covering the tonsils, pharynx, or nasal cavity. A key symptom of diphtheria is hoarseness or alteration in voice due to the toxin affecting nerves controlling the vocal cords.

The patient's hoarseness, combined with the clinical image suggesting a throat lesion, points towards diphtheria. The pseudomembrane is a classical finding and is formed by dead tissue, bacteria, fibrin, and inflammatory cells. This differentiates it from other options like membranous or follicular tonsillitis, which present with different clinical appearances.

Condition	Key Features
Membranous Tonsillitis	White or yellow exudate on tonsils
Follicular Tonsillitis	Pus-filled follicles on tonsils
Diphtheria	Pseudomembrane formation, hoarseness
Aphthous Ulcer	Small, painful, shallow ulcers

The correct identification rests on correlating the voice change with the presence of a typical diphtheritic lesion, i.e., the pseudomembrane, on the image associated with the question.