tonsillopharyngitis%20-%20acute
TONSILLOPHARYNGITIS - ACUTE
Patients with group A beta-hemolytic streptococcal pharyngitis have classic symptoms of tonsillar swelling/exudates, tender anterior cervical lymphadenopathy, with no cough but with fever of >38ºC.
Clinical features suggestive of a viral etiology are conjunctivitis, absence of fever, coryza, cough, diarrhea, anterior stomatitis, hoarseness, discrete ulcerative lesions, rhinorrhea and viral exanthem and/or enanthem.
Antibiotics will not be needed for every patient that presents with sore throat but it should not be withheld if the clinical condition is severe or group A beta-hemolytic streptococca is suspected.

Patient Education

  • Provide educational material about non-streptococcal causes of sore throats & home remedies that the patient may use
  • Patient should be instructed to follow-up if the symptoms worsen or if they persist beyond 5-7 days
  • Advise patient to eliminate close contact with other people to minimize transmission of the disease
    • Patients are infectious 2-5 days before symptom onset, during the illness, & for a week after if untreated

Group A Beta-Hemolytic Streptococci Suspected or Confirmed

  • Instruct the patient to remain at home until at least 24 hours of antimicrobial therapy has been received to minimize transmission of disease
  • Emphasize the importance of adhering to the prescribed medication regimen
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