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Question category: Tropical medicine

A back packer has just returned from India and presents to his GP with a sore throat. He initially felt like he had a cold and then noticed a very severe sore throat and difficultly swallowing. He feels pyrexial and unwell. On examination there appears to be a pseudomembrane over his pharynx and he has enlarged cervical lymph nodes giving him a bull neck appearance. What is the most likely diagnosis?

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