Overview
Tonsillopharyngitis is the inflammation of the tonsils and pharynx.
Etiologies include bacterial and viral pathogens.
Sore throat is the most common presenting symptom in older children.
Treatment is started only for documented group A beta-hemolytic Streptococcus (GABHS) infection. Due to practical constraints, antibiotics may be started empirically if: GABHS is clinically suspected; the patient is toxic-looking, and follow-up is not possible. Empiric treatment of GABHS is discouraged due to poor diagnostic accuracy even with elaborate clinical scoring systems.A rapid antigen detection test (RADT) or throat swab should be taken before starting empiric antibiotics. If antibiotics are started empirically, and culture results are negative, the antibiotic should be discontinued.
For further information regarding the management of Tonsillopharyngitis - Acute (Pediatric), please refer to Disease Algorithm for the Treatment Guideline.
Etiologies include bacterial and viral pathogens.
Sore throat is the most common presenting symptom in older children.
Treatment is started only for documented group A beta-hemolytic Streptococcus (GABHS) infection. Due to practical constraints, antibiotics may be started empirically if: GABHS is clinically suspected; the patient is toxic-looking, and follow-up is not possible. Empiric treatment of GABHS is discouraged due to poor diagnostic accuracy even with elaborate clinical scoring systems.A rapid antigen detection test (RADT) or throat swab should be taken before starting empiric antibiotics. If antibiotics are started empirically, and culture results are negative, the antibiotic should be discontinued.
For further information regarding the management of Tonsillopharyngitis - Acute (Pediatric), please refer to Disease Algorithm for the Treatment Guideline.