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Approach to a Child with Sore Throat
Sore throat is one of the common reasons for outpatient and emergency visits among children. It could be because of several etiologies; of these bacterial pharyngitis is the most important. Major challenge for the clinician is to diagnose group A beta hemolytic streptococcus (GABHS) pharyngitis and...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090817/ https://www.ncbi.nlm.nih.gov/pubmed/21660400 http://dx.doi.org/10.1007/s12098-011-0467-0 |
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author | Shah, Ravi Bansal, Arun Singhi, Sunit C. |
author_facet | Shah, Ravi Bansal, Arun Singhi, Sunit C. |
author_sort | Shah, Ravi |
collection | PubMed |
description | Sore throat is one of the common reasons for outpatient and emergency visits among children. It could be because of several etiologies; of these bacterial pharyngitis is the most important. Major challenge for the clinician is to diagnose group A beta hemolytic streptococcus (GABHS) pharyngitis and diphtheria, which are associated with serious complications. Throat swab smear with culture and rapid antigen tests are useful for making the diagnosis but the later may not be available in resource poor settings. Many clinical scores have been devised to diagnose GABHS with variable success but usually clinical features, epidemiological criteria and expert clinical judgment with or without supportive investigations indicate need for antibiotics. A child with sore throat and toxic look may have diphtheria or parapharyngeal/retropharyngeal abscess, and therefore should be hospitalized. |
format | Online Article Text |
id | pubmed-7090817 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-70908172020-03-24 Approach to a Child with Sore Throat Shah, Ravi Bansal, Arun Singhi, Sunit C. Indian J Pediatr Symposium on PGIMER Protocols on Respiratory Emergencies Sore throat is one of the common reasons for outpatient and emergency visits among children. It could be because of several etiologies; of these bacterial pharyngitis is the most important. Major challenge for the clinician is to diagnose group A beta hemolytic streptococcus (GABHS) pharyngitis and diphtheria, which are associated with serious complications. Throat swab smear with culture and rapid antigen tests are useful for making the diagnosis but the later may not be available in resource poor settings. Many clinical scores have been devised to diagnose GABHS with variable success but usually clinical features, epidemiological criteria and expert clinical judgment with or without supportive investigations indicate need for antibiotics. A child with sore throat and toxic look may have diphtheria or parapharyngeal/retropharyngeal abscess, and therefore should be hospitalized. Springer-Verlag 2011-06-10 2011 /pmc/articles/PMC7090817/ /pubmed/21660400 http://dx.doi.org/10.1007/s12098-011-0467-0 Text en © Dr. K C Chaudhuri Foundation 2011 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Symposium on PGIMER Protocols on Respiratory Emergencies Shah, Ravi Bansal, Arun Singhi, Sunit C. Approach to a Child with Sore Throat |
title | Approach to a Child with Sore Throat |
title_full | Approach to a Child with Sore Throat |
title_fullStr | Approach to a Child with Sore Throat |
title_full_unstemmed | Approach to a Child with Sore Throat |
title_short | Approach to a Child with Sore Throat |
title_sort | approach to a child with sore throat |
topic | Symposium on PGIMER Protocols on Respiratory Emergencies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090817/ https://www.ncbi.nlm.nih.gov/pubmed/21660400 http://dx.doi.org/10.1007/s12098-011-0467-0 |
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