Pharyngitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The optimal approach for differentiating among various causes of pharyngitis requires a problemfocused history, a physical examination, and appropriate laboratory testing.[1]Symptoms develop after a short incubation period of 24 to 72 hours.[1]

Symptoms

The main symptom is a sore throat. Other symptoms may include:

Viral Pharyngitis[1]

  • Coryza
  • Conjunctivitis
  • Malaise or fatigue
  • Hoarseness
  • Lowgrade fever

Children with viral pharyngitis also can present with atypical symptoms, such as mouth-breathing, vomiting, abdominal pain, and diarrhea. If Infectious mononucleosis patients are treated with amoxicillin or ampicillin, 90 percent will develop a classic maculopapular rash.[1]

Bacterial Pharyngitis

Patients with bacterial pharyngitis generally do not have rhinorrhea, cough, or conjunctivitis. The incidence of bacterial pharyngitis is increased in temperate climates during winter and early spring.[1]

GABHS Infection: Symptoms of strep throat may include pharyngeal erythema and swelling, tonsillar exudate, edematous uvula, palatine petechiae, and anterior cervical lymphadenopathy.[1]

Diphtheria: Characterized by sore throat, low-grade fever, and an adherent grayish membrane with surrounding inflammation of the tonsils, pharynx, or nasal passages.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Vincent MT, Celestin N, Hussain AN (2004) Pharyngitis. Am Fam Physician 69 (6):1465-70. PMID: 15053411

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