A male teenager presented to the ED complaining of fevers and a sore throat for 1 week. He had previously visited his primary care physician and received a 3-day course of azithromycin without improvement. The initial ED visit showed a normal chest radiograph and unremarkable physical examination; blood was drawn, and he was sent home with a prescription for acetaminophen. The next day his blood cultures grew gram-negative rods, and he was called to return to the ED for follow-up care. He now complained of a worsening sore throat and odynophagia. He had a mild nonproductive cough with no dysphonia, trismus, or neck pain. Review of other systems was normal. Of note, he had no recent dental procedures.