Pharyngitis and tonsillitis account for over 10% of all office visits to primary
care clinicians and 50% of outpatient antibiotic use. The most appropriate
management continues to be debated because some of the issues are deceptively
complex, but consensus has increased in recent years. The main concern is
determining who is likely to have a group A -beta hemolytic streptococcal infection
(GABHS), as this can lead to subsequent complications such as rheumatic fever
and glomerular nephritis.
The clinical features most suggestive of group A beta -hemolytic streptococcal pharyngitis include
The clinical features most suggestive of group A beta -hemolytic streptococcal pharyngitis include