Postanginal sepsis. A pain in the neck.
The primary care physician must be on the alert when a patient presents with a sore throat, signs of sepsis, and a rapidly deteriorating condition. Recognition of this distinct clinical presentation should lead to the diagnosis of postanginal sepsis. Once this diagnosis is suspected, therapy with an antibiotic that provides coverage against streptococci and anaerobes should be initiated promptly, and a drainable focus of infection should be excluded.
Department of Internal Medicine, University of South Florida College of Medicine, Tampa.
J T
JT
Sinnott
C
C
Wheedon
M
M
Schwartz
L
L
Villanueva
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology*; D001439:Bacteroides / Q000302:isolation & purification; D003937:Diagnosis, Differential; D005675:Fusobacterium necrophorum / Q000302:isolation & purification; D006801:Humans; D008168:Lung / Q000382:microbiology; D008297:Male; D014066:Palatine Tonsil / Q000382:microbiology; D010612:Pharyngitis / Q000150:complications*; D013577:Syndrome; D013927:Thrombosis
D000900:Anti-Bacterial Agents