Diagnosis and Management of Group A Streptococcal Pharyngitis and Associated Complications

Points

• Patients at risk for group A Streptococcus (GAS) pharyngitis are those aged > 3 years who present with sore throat and a history of fever, headache, nausea, vomiting, abdominal pain, tonsillopha­ryngeal inflammation, patchy tonsillopharyngeal exudates, palatal petechiae, and anterior cervical adenitis.
• The presence of cough, coryza, diarrhea, hoarse­ness, rhinorrhea, discrete ulcerative lesions in the mouth, or symptoms lasting > 5 days argues against the need for diagnostic testing for GAS.

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