GROUP-A BETA HEMOLYTIC STREP (GABHS) PHARYNGITIS

Photo Credit: Dr. James Heilman from Wikipedia

PHARYNGITIS

: MC caused (30-60%) by viral infection in adults – rhinovirus

: caused by bacterial infection in adults in only in 5-10% - GABHS

: accounts for 30-40% of case in children

: prevents rheumatic fever – by starting antibiotics 10 days after onset of symptoms

: SORE THROAT from Epstein-Barr virus (82%) – found in pxs with Infectious Mononucleosis –

• Tx mostly consist of

1. Supportive care

2. Rest

3. Antipyretics

4. Analgesics

 

GABHS-PHARYNGITIS

: MC pathogen responsible for most case of bacterial pharyingitis – BUT accounts only 10% of adult cases

            : Symptoms – usually rapid onset:

- Severe sore throat

- Odynophagia

- Cervical lymphadenopathy

- Fever

- Chills

- Malaise

- Headache

- Mild neck stiffness

- Anorexia