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Approach to a Child with Sore Throat

Identifieur interne : 000760 ( new/Analysis ); précédent : 000759; suivant : 000761

Approach to a Child with Sore Throat

Auteurs : Ravi Shah [Inde] ; Arun Bansal [Inde] ; Sunit C. Singhi [Inde]

Source :

RBID : ISTEX:BDE28655ED2F33F8C4F2BAB54E2D7E00A7DC60CA

English descriptors

Abstract

Abstract: 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.

Url:
DOI: 10.1007/s12098-011-0467-0


Affiliations:


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ISTEX:BDE28655ED2F33F8C4F2BAB54E2D7E00A7DC60CA

Le document en format XML

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