Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • pain on swallowing
  • fever (>38°C [>100.5°F])
  • tonsillar exudate

Other diagnostic factors

  • sudden onset of sore throat
  • headache
  • abdominal pain
  • nausea and vomiting
  • presence of cough or runny nose
  • tonsillar erythema
  • tonsillar enlargement
  • enlarged anterior cervical lymph nodes

Risk factors

  • age between 5 and 15 years
  • contact with infected people in enclosed spaces (e.g., child care centres, schools, prison)

Diagnostic investigations

1st investigations to order

  • throat culture
  • rapid streptococcal antigen test
Full details

Investigations to consider

  • serological testing for streptococci
  • WBC count and differential
  • heterophile antibodies
  • vaginal and cervical, or penile, and rectal cultures
  • HIV viral load assay
  • lateral cervical view x-ray, exposed for soft tissue
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Christos Georgalas

Director

Endoscopic Skull Base Centre

Academic Medical Center

Amsterdam

The Netherlands

Disclosures

CG declares that he has no competing interests.

Eleftherios Margaritis

Otolaryngologist - Head and Neck Surgeon

Collaborator in Otolaryngology

ENT Department

Hippokration University Hospital

Athens

Greece

Disclosures

EM declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor of Pediatrics and Medicine

Georgetown University

Washington

DC

Disclosures

IB declares that he has no competing interests.

Dean

Faculty of Health Sciences and Medicine

Bond University

Gold Coast

Queensland

Australia

Disclosures

CDM is the author of some studies referenced in this monograph.

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