Pharyngitis, peritonsillar abscess, and retropharyngeal abscess (pediatrics) Quiz: Ace Your Exams

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A 16-year-old girl presents to the emergency department for evaluation of a sore throat. The patient was treated as an outpatient for strep throat based on clinical findings without strep testing, one week ago, but she has not had improvement in symptoms despite taking amoxicillin as prescribed. She has a history of allergic rhinitis controlled with a nasal steroid spray. She is sexually active with one male partner. Temperature is 39°C (102.2°F), blood pressure is 131/67 mmHg, pulse is 101/min, respiratory rate is 16/min, and oxygen saturation is 99% on room air. Examination of the posterior pharynx reveals erythema and swelling of the tonsils with exudates bilaterally. Cervical lymphadenopathy is present. Cardiopulmonary examination is within normal limits. Heterophile antibody testing, and rapid influenza testing are negative. Rapid strep is negative, and gram stain comes back positive for gram-negative cocci. NAAT is pending. Which of the following is the best next step in management? 

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