Adult and pediatric pharyngitis: a review

J Emerg Med. 1992 Sep-Oct;10(5):607-16. doi: 10.1016/0736-4679(92)90146-k.


Acute pharyngitis is frequently encountered in the ambulatory care setting. Although usually of viral etiology, streptococcal disease is the focus of diagnostic efforts, in light of significant suppurative and nonsuppurative sequelae. The traditional symptoms of fever, adenopathy, and pharyngeal exudate are suggestive, but not diagnostic of streptococcal pharyngitis. Thus, the importance of diagnostic testing, including Group A beta hemolytic strep antigen screen and culture, is emphasized. Recent innovations in therapy include modification of antibiotic dosing regimens and use of cephalosporins to improve patient compliance.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Child
  • Child, Preschool
  • Clinical Protocols / standards
  • Diagnosis, Differential
  • Emergency Medicine / methods*
  • Humans
  • Incidence
  • Patient Compliance
  • Pharyngitis / diagnosis*
  • Pharyngitis / epidemiology
  • Pharyngitis / microbiology
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / epidemiology
  • Streptococcal Infections / microbiology
  • Streptococcus pyogenes*


  • Anti-Bacterial Agents