Friday, September 11, 2009

Refractory pharyngitis

DDx: Strep A, Strep C, Strep G, HIV acute retroviral syndrome, EBV, Lemierre's syndrome

Group C: Can have rising ASO titers, glomerulonephritis, pharyngitis epidemics. PCN usually effective.
Group G: PCN usually effective, some vanc resistance
EBV: anterior and posterior nodes positive; can develop peritonsillar abscess
Lemierre's syndrome: Fusibacterium necrophorum with septic thrombophlebitis of the IJV

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