Diagnosis
Table 1. Epidemiologic and Clinical Features of Group A
Streptococcal Pharyngitis
Features suggestive of GAS pharyngitis:
������ Sudden onset of sore throat
������ Age 5-15 years
������ Fever
������ Headache
������ Nausea, vomiting, abdominal pain
������ Tonsillopharyngeal inflammation
������ Patchy tonsillopharyngeal exudates
������ Palatal petechiae
������ Anterior cervical adenitis (tender nodes)
������ Winter-early spring presentation
������ History of exposure to strep pharyngitis
������ Scarlatiniform rash
Features suggestive of viral pharyngitis:
������ Conjunctivitis
������ Coryza
������ Cough
������ Diarrhea
������ Hoarseness
������ Discrete ulcerative stomatitis
������ Viral exanthema
