 She showed some initial improvement, but over the last 3-5 days has had malaise, a low-grade fever, and severe oral ulcerations with difficulty in swallowing although she can drink liquids with less difficulty. 
She showed some initial improvement , but over the last 3 - 5 days has had malaise , a low - grade fever , and severe oral ulcerations with difficulty in swallowing although she can drink liquids with less difficulty .