Infectious diseases (miscellaneous)

Question 1

What are the likely microbial causes of pharyngitis?

Answer 1

Viral: adenovirus, rhinovirus, coronovirus, EPV.
Bacterial: Group A Streptococcus, H. influenzae, Step. pneumoniae

Question 2

What system is used to determine antibiotic prescription in Ps with pharyngitis?

Answer 2

Fever-PAIN Score

Question 3

Which criteria does the Fever-PAIN Score involve?

Answer 3

1. fever in last 24hrs
2. muscle aches
3. sore throat
4. absence of bad cough
5. severely inflamed tonsils (e.g. pus)
6. anterior cervical glands

Question 4

How likely is it that Ps with fever-PAIN Scores of 0-1, 2-3 and >4 have a streptococcal infection? What is the implication for antibiotic prescription?

Answer 4

0-1: 13-18% (no antibiotics)
2-3: 34-40% (delayed/back-up antibiotic)
>4: 62-65% (antibiotics)

Question 5

What is the likely cause of lumps in the neck of Ps with pharyngitis?

Answer 5

reactive lymph nodes