A 21-year-old woman pesents with:
- A 3-day history of fever and sore throat.
- Not coughing; very mild coryza.
- Temperature 39C.
- Erythematous oropharynx - no exudate.
- No cervical lymphadenopathy.
What should you do?
a) No throat swab
b) Amoxicillin empirically
c) Throat swab and amoxicillin if GAS positive
d) Viral prescription
- Most cases are viral.
- You should consider antibiotics ONLY if a rapid strep test or a culture is positive.
You do not need a rapid strep test or culture IF:
- Modified McIsaac or Centor Score is ≤ 1.
- The patient has symptoms such as rhinorrhea, oral ulcers or hoarseness (these are signs of a viral infection).
Modified McIsaac/ Centor Score: