Paper
Clinical practice. Streptococcal pharyngitis.
Published Feb 17, 2011 · Michael R. Wessels
The New England journal of medicine
207
Citations
8
Influential Citations
Abstract
Copyright © 2011 Massachusetts Medical Society. A 10-year-old girl presents with a sore throat and fever that has lasted for 1 day. She appears flushed and moderately ill. Physical examination reveals a temperature of 39°C, tender bilateral anterior cervical lymph nodes that are 1 to 2 cm in the greatest dimension, and erythema and whitish-yellow exudate over enlarged tonsils and the posterior pharynx. A rapid antigen-detection test from a throat-swab specimen is positive for group A streptococcus. How should the patient be evaluated and treated?
The patient should be evaluated and treated for group A streptococcus pharyngitis, as her physical exam shows tender lymph nodes and erythema over enlarged tonsils and the posterior pharynx.
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