Streptococcal Pharyngitis

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Streptococcal pharyngitis is characterized by fever, sore throat, tonsillar exudates, and tender anterior cervical adenopathy. Other common symptoms include difficult and painful swallowing, headache, nausea, fatigue, and abdominal pain. Cough and coryza do not usually occur in patients with strep throat and would suggest a viral etiology. Frank exudates are a typical finding, but are not specific to streptococcal pharyngitis, as they also occur in patients with infectious mononucleosis, adenovirus pharyngitis, and a variety of other aetiologies. The use of a clinical scoring system (e.g., FeverPain or Centor score), as well as rapid antigen detection tests and culture, can help identify which patients would most likely benefit from antimicrobial treatment. Test of cure, however, is not routinely indicated. The antibiotic of choice is phenoxymethylpenicillin. Antibiotics are given to prevent spread of the infection and to prevent a variety of suppurative and nonsuppurative complications. While effective in preventing rheumatic fever, antibiotics have not been shown to prevent the development of post-streptococcal glomerulonephritis. • 📺 Subscribe To My Channel and Get More Great Quizzes and Tutorials • / @med4vl • #FOAMed #MedEd #ENT • Disclaimer: All the information provided by Medical Education for Visual Learners and associated videos are strictly for informational purposes only. It is not intended as a substitute for medical advice from your health care provider or physician. It should not be used to overrule the advice of a qualified healthcare provider, nor to provide advice for emergency medical treatment. If you think that you or someone that you know may be suffering from a medical condition, then please consult your physician or seek immediate medical attention.

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