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]