Sandbox:pharyngitis

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Infectious Mononucleosis(IM)

After a prodromal period of chills, sweats, feverishness, and malaise, IM presents with the classic triad of severe sore throat, fever (a temperature as high as 38°C to 40°C), and lymphadenopathy.[1]

Children with viral pharyngitis also can present with atypical symptoms, such as mouth-breathing, vomiting, abdominal pain, and diarrhea. If Infectious mononucleosis patients are treated with amoxicillin or ampicillin, 90 percent will develop a classic maculopapular rash.[2]

GABHS Infection

Symptoms of strep throat may include pharyngeal erythema and swelling, tonsillar exudate, edematous uvula, palatine petechiae, and anterior cervical lymphadenopathy.[2]

Streptococcal Pharyngitis[1]
Characterestic symptoms Uncharacterestic symptoms
  • Sudden onset of sore throat
  • Pain on swallowing
  • Fever
  • Headache
  • Abdominal pain
  • Nausea and vomiting
  • Coryza
  • Hoarseness
  • Cough
  • Diarrhea

Diphtheria

Characterized by sore throat, low-grade fever, and an adherent grayish membrane with surrounding inflammation of the tonsils, pharynx, or nasal passages.[2]

Neisseria gonorrhoeae

Neisseria gonorrhoeae is usually asymptomatic, clinically apparent pharyngitis sometimes develops, and pharyngeal colonization may be associated with disseminated disease. Gonococcal pharyngitis should be suspected, particularly in women and homosexual men.

  1. 1.0 1.1 Bisno AL (2001) Acute pharyngitis. N Engl J Med 344 (3):205-11. DOI:10.1056/NEJM200101183440308 PMID: 11172144
  2. 2.0 2.1 2.2 Vincent MT, Celestin N, Hussain AN (2004) Pharyngitis. Am Fam Physician 69 (6):1465-70. PMID: 15053411