A组β溶血性链球菌性咽喉炎能通过临床诊断出来吗？
Can group A beta haemolytic streptococcal sore throats be identified clinically?
作者信息
de Silva K S, Gunatunga M W, Perera A J, Jayamaha D J
机构信息
Faculty of Medicine, University of Colombo.
出版信息
Ceylon Med J. 1998 Dec;43(4):196-9.
OBJECTIVE
To differentiate the clinical manifestations of a Group A beta haemolytic streptococcal throat infection from viral and other bacterial infections.
SETTING
Outpatients' department, Lady Ridgeway Hospital, Colombo.
PATIENTS AND METHODS
Children aged 3 to 12 years attending with a sore throat. Throat swabs were taken and relevant details were obtained using a questionnaire. They were examined for significant cervical lymphadenopathy and tonsillar exudate.
RESULTS
Group A beta haemolytic streptococci were isolated from 61 (44.5%) throat swabs. Clinical differentiation of Group A beta haemolytic streptococcal sore throats was not possible as none of the symptoms or signs were significantly associated with the presence of this organism.
CONCLUSIONS
Group A beta haemolytic streptococcal sore throats cannot be identified clinically, so that throat swabs for culture are necessary in children with sore throat. In the absence of this facility, it is reasonable to treat sore throats in children as for beta haemolytic streptococci.
目的
鉴别A组β溶血性链球菌性咽喉感染与病毒及其他细菌感染的临床表现。
地点
科伦坡里治威夫人医院门诊部。
患者与方法
3至12岁因咽喉痛前来就诊的儿童。采集咽喉拭子，并通过问卷获取相关细节。检查是否存在显著的颈部淋巴结肿大及扁桃体渗出物。
结果
61份（44.5%）咽喉拭子中分离出A组β溶血性链球菌。由于没有任何症状或体征与该病原体的存在显著相关，因此无法对A组β溶血性链球菌性咽喉痛进行临床鉴别。
结论
A组β溶血性链球菌性咽喉痛无法通过临床进行识别，因此咽喉痛儿童有必要进行咽喉拭子培养。若没有该检测条件，将儿童咽喉痛按β溶血性链球菌感染进行治疗是合理的。
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