3-day Fever in Pediatrics — 4yo Child | Pediatric Infectious | SMLE Q#4353

SMLE Question #4353

Pediatrics Pediatric Infectious

Objective: OBJ-113

Last updated: January 2026
A 4-year-old child is brought to the clinic with a 3-day history of fever, irritability, and painful oral lesions. The parents report the child refuses solid foods and cries when attempting to drink. Examination reveals multiple small vesicles and shallow ulcers on the soft palate, tongue, and gingiva, with erythematous surrounding mucosa and mild drooling. Several tender submandibular lymph nodes are palpable. What is the most likely diagnosis?

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