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Diagnosis and Management of Group A Streptococcal Pharyngitis and Associated Complications

December 2017

Inside This Issue

Emergency clinicians must recognize group A Streptococcus (GAS) pharyngitis and offer appropriate diagnosis and treatment to promote good antibiotic stewardship. In this issue, you will learn to:

  • Identify pediatric patients at risk for GAS pharyngitis and associated complications
  • Recognize the clinical signs and symptoms of GAS pharyngitis and differentiate them from viral and bacterial infections
  • Order rapid antigen detection testing or throat culture appropriately
  • Prescribe appropriate antibiotics for patients who need them, including alternatives for patients with beta-lactam allergies
  • Identify patients who may be discharged home, and those who need to be admitted for further management or observation
  • Recognize and manage various complications of GAS pharyngitis, such as peritonsillar abscess and acute rheumatic fever

Keywords: group A Streptococcus, GAS, group A Streptococcus pharyngitis, GAS pharyngitis, pharyngitis, sore throat, peritonsillar abscess, retropharyngeal abscess, cervical lymphadenitis, bacteremia, necrotizing faciitis, streptococcal toxic shock syndrome, acute rheumatic fever, poststreptococcal glomerulonephritis, rapid antigen detection testing, RADT, throat culture, anti-streptococcal antibody titer, streptozyme test, tonsillopharyngeal inflammation, tonsillopharyngeal exudates, palatal petechia, anterior cervical adenitis, scarlantiniform rash, Centor Score, GAS carrier

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Last Modified: 12/12/2017
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