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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816


CASTILLO P, Marcela et al. Absence of correlation between clinical variables and etiology of acute pharyngotonsillitis: Prospective study of cases and controls. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2008, vol.68, n.1, pp.7-15. ISSN 0718-4816.

Acute pharyngotonsillitis (APT) is an infectious disease that can be caused by numerous etiologic agents, with Streptococcus pyogenes (SP) being the most frequently involved and the main cause of potential complications. This study was aimed to determine the prevalence of this and other microorganisms in a sample of a pediatric and adult population. A prospective study of cases and controls was designed in patients that presented consecutively with odynophagia and pharyngotonsilar inflammation. A complete exam was performed, including pharyngeal culture in 159 patients between 3 and 55 years of age. Among relevant symptoms we found: headache, fever, lymphadenopathy and tonsilar exúdate. 29%ofAPTs were caused by SP in adults, and only 17% In children. Conclusions: There was no correlation between clinical characteristics and SP presence. According to these results, a routine etiologic study is suggested when facing an APT

Palabras clave : Acure pharyngotonsillitis; Streptococcus pyogenes; odynophagia; pharyngeal culture.

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