0
CLINICAL MANAGEMENT |

Sore Throat—A Diagnostic and Therapeutic Dilemma

Gene H. Stollerman, MD
JAMA. 1964;189(2):145-146. doi:10.1001/jama.1964.03070020073016.
Text Size: A A A
Published online

THE MANAGEMENT of acute pharyngitis has become, more than ever, a frustrating experience for the practitioner. Without a throat culture, the differentiation between viral and streptococcal pharyngitis is unsatisfactory. On the other hand, a positive throat culture in itself does not necessarily mean that a significant streptococcal infection is in progress. For example, a patient with viral pharyngitis might be carrying group A streptococci which are not actually causing infection. How then is the clinician to make an accurate diagnosis in time to treat streptococcal disease intelligently? The problem is not insurmountable if he makes throat cultures routinely in all patients whom he examines with nasopharyngitis.

Value of Throat Cultures.—  By making throat cultures in all patients with nasopharyngitis, the physician becomes aware of the epidemiology of the infections he encounters. A throat culture which is negative for β-hemolytic streptococci will exclude the unnecessary and promiscuous use of expensive antibiotics.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();