A 48 year old man presented to our outpatient department with the history of absolute dysphagia, and fever for two days. On examination patient was febrile with drooling of saliva. Oropharynx was minimally congested. Indirect laryngoscopy revealed odematous epiglottis with pus pointing over the lingual surface. Radiography of soft tissue, neck lateral view, showed the thumb sign which suggeste...

Group A beta-haemolytic streptococci were isolated from 51 (9.8%) of 519 patients with pharyngitis. Throat culture results showed the mean sensitivity, specificity and predictive value of a positive Gram-stained smear of pharyngeal secretions as 70%, 89% and 69%. The data suggest that Gram staining of a smear directly from the swab is as accurate as and more speedy than a culture from the phary...

Pharyngitis: Acute pharyngitis is considered one of the main causes of inappropriate use of antibiotics. Studies done worldwide show us that even though physicians know that about 80% of them are caused by viruses, the majority of people with sore throats and fever (50-85%) are treated with antibiotics. The reasons usually expressed by doctors are “... to calm down the patient or his/her mother...

Dear Editor, Recently, we read with interest the case report by Sharif et al. entitled “Streptococcal pharyngitis in a two-month-old infant: a case report” published in Jundishapur journal of microbiology (1). Streptococcal pharyngitis, as reported in their manuscript, is rare among children less than 1 year old and there are no clear instructions regarding the treatment of infant patients suff...

BACKGROUND There is a high degree of professional consensus that children diagnosed with pharyngitis should only receive antibiotics if they have a positive test for group A streptococcus (GAS). OBJECTIVES To develop and test the validity of a quality of care performance measure that examines GAS testing rates in children diagnosed with pharyngitis and prescribed an antibiotic. DESIGN The m...

streptococcuscus beta hemolytic group a is the most important pathogen causing which may lead to purulent and non purulent angina. rheumatic fever is the most important complication that is the cause of 30% to 40% of cardiac disease and disablement. this study was performed to evaluate prevalence of streptococcuscus beta hemolytic group a and estimate role of clinical findings in children with ...

Among 40 children undergoing tonsillectomy for recurrent pharyngitis, 15 (37.5%) had presented preoperatively with complaints compatible with PFAPA syndrome. All 15 had had periodic fever every three to four weeks and pharyngitis; 12 (80%) had cervical adenitis and five (33%) aphthous stomatitis. All children had been well between episodes and showed a dramatic postoperative improvement. PFAPA ...