Document Detail


The sore throat. Pharyngitis and epiglottitis.
MedLine Citation:
PMID:  3074105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sore throat can be caused by different microorganisms and diseases. Most cases of acute pharyngitis are caused by group A streptococcus or viruses; however, uncommon organisms may be suggested by other clinical information or the persistence of symptoms. A thorough history and physical examination are essential for the appropriate selection of diagnostic tests for sore throat. Routine testing for the uncomplicated case should consist of a pharyngeal culture in most patients, with rapid streptococcal antigen testing only for the more severe cases. Those with positive streptococcal tests should be treated to prevent rheumatic fever and mitigate symptoms in severe cases. Sore throat caused by viruses usually resolves spontaneously. Cases that persist should be thoroughly re-evaluated, with alternative causes being considered. Acute epiglottitis is a medical emergency and requires treatment with appropriate antibiotics for Hemophilus influenzae type b and intubation.
Authors:
J K Todd
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Infectious disease clinics of North America     Volume:  2     ISSN:  0891-5520     ISO Abbreviation:  Infect. Dis. Clin. North Am.     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1989-06-27     Completed Date:  1989-06-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8804508     Medline TA:  Infect Dis Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  149-62     Citation Subset:  IM    
Affiliation:
University of Colorado School of Medicine, Denver.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anti-Bacterial Agents / therapeutic use
Epiglottitis / drug therapy,  etiology*
Humans
Laryngitis / etiology*
Pharyngitis / drug therapy,  etiology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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