Boxerbaum B
Prim Care. 1981 Dec;8(4):583-91.
Despite the decrease in the incidence and severity of rheumatic fever and rheumatic heart disease in the United States, overzealous emphasis on proper diagnosis and treatment of group A streptococcal pharyngitis in order to prevent these illnesses may often result in a frustrating, anxiety-provoking condition known as "streptococcal neurosis." Physicians, parents, and patients may all suffer from this condition, which often occurs even after all possible and appropriate treatment has been used to eradicate the group A streptococci. "Streptococcal neurosis" and the perplexing problem of treatment failure can be avoided or alleviated by utilizing knowledge of the interrelationship of the human host, the group A streptococcus, and nonsuppurative sequelae.
尽管在美国风湿热和风湿性心脏病的发病率及严重程度有所下降，但为预防这些疾病而过度强调对A组链球菌性咽炎进行正确诊断和治疗，可能常常导致一种令人沮丧、引发焦虑的状况，即“链球菌神经症”。医生、家长和患者都可能受此困扰，即便已采用所有可能且恰当的治疗方法来根除A组链球菌，这种情况仍常常出现。通过运用关于人类宿主、A组链球菌及非化脓性后遗症之间相互关系的知识，“链球菌神经症”以及治疗失败这一棘手问题是可以避免或得到缓解的。
