Roos K
Scand J Infect Dis. 1985;17(3):259-67. doi: 10.3109/inf.1985.17.issue-3.04.
267 outpatients with acute tonsillitis were studied with regard to clinical signs and symptoms and presence of beta-hemolytic streptococci. Beta-hemolytic streptococci were found in 169 patients (63%), compared to 6/64 healthy controls (9%). Of the tonsillitis patients with beta-hemolytic streptococci, 80% harboured group A and 20% groups C and G. Five out of 6 controls had group C and G streptococci. Eight clinical signs and symptoms of acute tonsillitis were rated on a 10-point scale. A correlation was found between redness in the oropharynx and on the tonsils and positive culture for beta-hemolytic streptococci group A. The total WBC count, polymorphonuclear leucocytes and ratio of polymorphonuclear to mononuclear leucocytes were strongly correlated to a positive culture for streptococci group A. Groups C and G did not show these correlations. The study stresses the importance of quantitative culture technique and the value of this for diagnosis in the acute ill patient with tonsillitis.
对267例急性扁桃体炎门诊患者的临床体征、症状及β-溶血性链球菌感染情况进行了研究。169例患者（63%）检出β-溶血性链球菌，而64例健康对照者中仅6例（9%）检出。在感染β-溶血性链球菌的扁桃体炎患者中，80%为A组，20%为C组和G组。6例对照者中有5例感染C组和G组链球菌。对急性扁桃体炎的8项临床体征和症状进行了10分制评分。发现口咽和扁桃体发红与A组β-溶血性链球菌培养阳性之间存在相关性。白细胞总数、多形核白细胞以及多形核白细胞与单核白细胞的比例与A组链球菌培养阳性密切相关。C组和G组未显示出这些相关性。该研究强调了定量培养技术的重要性及其在急性扁桃体炎患者诊断中的价值。
