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A 26-year-old man presented to the emergency department with a two-day history of a sore throat. He was unable to eat solids because of pain and swelling but was tolerating liquids. He was afebrile but had taken 800 mg of ibuprofen one hour before arrival. On physical examination, a white exudate was seen on the tonsils (arrows). The patient was treated with 1.2 million units of penicillin G benzathine intramuscularly and given a benzocaine spray for topical analgesia. The results of a throat culture confirmed the diagnosis of streptococcal pharyngitis.
Streptococcal pharyngitis is caused by group A  -hemolytic streptococci and . . . [Full Text of this Article] |
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