The common cold Antibiotics are not needed. Pharyngitis and tonsillitis 1) Most cases of pharyngitis/tonsilitis are viral infections. There is no need for antibiotics except when group A beta-hemolytic streptococcus (GABHS) is the causative pathogen. 2) In the case of GABHS infection, benzylpenicillin benzathine is the first-line agent. Acute otitis media Follow up with symptomatic treatment on...

BACKGROUND Acute pharyngitis is one of the most frequent consultations to the general practitioner and in most of the cases an antibiotic is prescribed in primary care in Spain. Bacterial etiology, mainly by group A beta-hemolytic streptococcus (GABHS), accounts for 10-20% of all these infections in adults. The purpose of this study is to assess the impact of rapid antigen detection testing (RA...

In the laboratory diagnosis of pharyngitis, results from latex agglutination tests (LAT) performed directly on throat swabs are often compared with the isolation of group A beta-hemolytic streptococci (GABHS) from simultaneously obtained swabs cultivated on a variety of media under different atmospheric conditions. In this study, results of an LAT, Directigen, were compared with those of two di...

BACKGROUND The current diagnostic criteria for pediatric autoimmune neuropsychiatric disorder associated with group A streptococcal infection (PANDAS) are pediatric onset, neuropsychiatric disorder (obsessive-compulsive disorder [OCD]) and/or tic disorder; abrupt onset and/or episodic course of symptoms; association with group A beta-hemolytic streptococcal (GABHS) infection; and association wi...

The course of severe invasive group A b-hemolytic streptococcal (GABHS) infections is often precipitous, requiring prompt diagnosis and rapid initiation of appropriate therapy. Therefore, physicians must have a high index of suspicion of this disease, particularly in patients at increased risk (eg, those with varicella or diabetes mellitus). Although a relationship between the use of nonsteroid...

Bacteriological failure with penicillin that has been used widely for years in group A beta hemolytic streptococcal (GABHS) tonsillopharyngitis is being reported as high as 30%. Because of this unresponsiveness, many different agents are being used as alternative options. We evaluated the effect of clarithromycin, amoxicillin/clavulanate (CAM), cefprozil and benzathine penicillin G (Pen G) on t...

INTRODUCTION Group A Beta-Hemolytic Streptococcus (GABHS) can induce PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection). GABHS is the most important and common bacterial cause of acute pharyngitis in Iranian children. We studied the role of GABHS (anti-streptococcal antibodies) in suspected cases of PANDAS in a cross sectional studies. METHODS Acr...

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...

as the pharynx has lateral cords with the same type of tissue as in Waldeyer’s lymphatic ring. It is very rare to have a patient with an isolated tonsillitis, as the lymphatic ring is generally involved, and therefore pharyngo-tonsillitis is the correct term. The same analogy can also be made with sinus pathology, as the nasal tissue is also involved in cases of allergy or infection, and the pa...

nine hundred and twelve, consecutive patients attended various clinics of isfahan university for various complains have been evaluated for a.s.o. titers among whom 172 has positive nasopharyngeal cultures for type a, b hemolytic streptococcus. all of the patients with positive cultures have a.s.o. titers of above 333 todd’s unit, while with exception of 22 cases all of the others had values of ...