Pharyngitis

Pharyngitis

Pharyngitis.

Sore throat is one of the most common reasons for visits to family physicians. While most patients with sore throat have an infectious cause (pharyngitis), fewer than 20 percent have a clear indication for antibiotic therapy (i.e., group A beta-hemolytic streptococcal infection). Useful, well-validated clinical decision rules are available to help family physicians care for patients who present...

Gonococcal pharyngitis.

The causative organism of gonorrhoea, Neisseria gonorrhoeae, has a special predilection for columnar epithelium. It is a delicate organism easily destroyed by heat, drying, mild antiseptics, and soap solutions. Transference of infection occurs when moist infective discharges come into contact with susceptible mucous membranes. Although the usual portal of entry of N. gonorrhoeae is the lower ge...

27 - Pharyngitis

Acute pharyngitis is one of the most common illnesses for which children in the United States visit primary care providers; pediatricians make the diagnosis of acute pharyngitis, acute tonsillitis, or “strep throat” more than 7 million times annually. A partial list of the more common microorganisms that can cause acute pharyngitis is presented in Table 27-1. Most cases in children and adolesce...

Group A streptococcal pharyngitis

The group A Streptococcus is the most common bacterial cause of pharyngitis. Although most cases of streptococcal pharyngitis are managed by primary care providers, the otolaryngologist is often consulted to assist in the management of patients with persistent sore throat, chronic streptococcal carriage, recurrent streptococcal pharyngitis, or complications of streptococcal infection. This arti...