Merriam S C, Keeling R P
South Med J. 1983 May;76(5):575-6. doi: 10.1097/00007611-198305000-00010.
Infectious mononucleosis (IM) and beta-hemolytic streptococcal pharyngitis may present similar clinical pictures and may occur concurrently; however, recent studies have differed sharply with older ones that cited high rates of concurrent disease. Our study of 100 consecutive new patients meeting strict criteria for a diagnosis of IM found only 4% with positive throat cultures for group A beta-hemolytic streptococci at the time of diagnosis. Use of antibiotics for presumed streptococcal pharyngitis in patients with IM is unjustified. Only patients with positive cultures should be treated.
传染性单核细胞增多症（IM）和β-溶血性链球菌性咽炎可能呈现相似的临床表现，且可能同时发生；然而，近期的研究与那些提及并发疾病高发生率的早期研究有很大差异。我们对100例连续的符合IM诊断严格标准的新患者进行的研究发现，诊断时仅有4%的患者A组β-溶血性链球菌咽拭子培养呈阳性。对IM患者疑似链球菌性咽炎使用抗生素是不合理的。只有培养结果呈阳性的患者才应接受治疗。
