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Article |

Recognition of Streptococcal Pharyngitis in Adults

B. Timothy Walsh, MD; William W. Bookheim; Rita C. Johnson; Richard K. Tompkins, MD
Arch Intern Med. 1975;135(11):1493-1497. doi:10.1001/archinte.1975.00330110083011.
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• In order to devise a strategy for the management of acute pharyngitis, the clinical features of 418 adults with sore throat were noted and throat cultures were obtained. Patients with cultures positive for group A β-hemolytic streptococci had a significantly higher (P≤.01) frequency of recent exposure to streptococcal infection, pharyngeal exudate, enlarged or tender cervical nodes, and high fever (≧38.3 C [101 F]). Patients with negative cultures complained more frequently of cough. On the basis of these symptoms and signs, a clinical algorithm was developed and discriminant function scores were computed that identify patient populations with different probabilities of having streptococcal pharyngitis. The patients with moderate and high probabilities included 91% of patients with positive cultures but only 67% of the total patient population. These methods could be the basis for more efficient evaluation of adults with sore throat.

(Arch Intern Med 135:1493-1497, 1975)


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