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Strep throat is typically treated with antibiotics, such as either penicillin or amoxicillin. [2] It is unclear whether steroids are useful in acute pharyngitis, other than possibly in severe cases, but a recent (2020) review found that when used in combination with antibiotics they moderately reduced pain and the likelihood of resolution. [9] [10]
For sore throat caused by bacteria (GAS), treatment with antibiotics may help the person get better faster, reduce the risk that the bacterial infection spreads, prevent retropharyngeal abscesses and quinsy, and reduce the risk of other complications such as rheumatic fever and rheumatic heart disease. [2]
The Centor criteria are a set of criteria which may be used to identify the likelihood of a bacterial infection in patients complaining of a sore throat. They were developed as a method to quickly diagnose the presence of Group A streptococcal infection or diagnosis of streptococcal pharyngitis in "adult patients who presented to an urban emergency room complaining of a sore throat."
Bacillus cereus infection Culture Vancomycin: No multiple bacteria Bacterial meningitis: Lumbar puncture (contraindicated if there is a mass in the brain or the intracranial pressure is elevated), CT or MRI Antibiotics No multiple bacteria Bacterial pneumonia: Sputum Gram stain and culture, Chest radiography Antibiotics No
Streptococcal pharyngitis, also known as streptococcal sore throat (strep throat), is pharyngitis (an infection of the pharynx, the back of the throat) caused by Streptococcus pyogenes, a gram-positive, group A streptococcus. [9] [10] Common symptoms include fever, sore throat, red tonsils, and enlarged lymph nodes in the front of the neck.
Diphtheria is an infection caused by the bacterium Corynebacterium diphtheriae. [2] Most infections are asymptomatic or have a mild clinical course, but in some outbreaks, the mortality rate approaches 10%. [1] Signs and symptoms may vary from mild to severe, [1] and usually start two to five days after exposure. [2]