In this type of scenario without immunization Diphtheria
should be ruled out so better to send smear and culture for diphtheria organisms as this condition requres specific treatment with antitoxin apart from antibiotics and there are life threatening complications are associate with this infection. Till diphtheria ruled out patient should be in absolute bed rest
and proper nutrition to be maintained and consultation with an ENT specialist
and Infectious Disease specialist or centre is needed.