A 7-year-old has fever, severe sore throat, tender anterior cervical nodes, tonsillar exudate and no cough or rhinorrhea, with a sandpaper rash. What

Question

A 7-year-old has fever, severe sore throat, tender anterior cervical nodes, tonsillar exudate and no cough or rhinorrhea, with a sandpaper rash. What is the best next step?

Accepted Answer

Test for GAS by RADT or culture before treating infection

Answer

Assess for peritonsillar abscess if trismus develops

Answer

Provide analgesia and reassess viral features over 48 hours

Answer

Obtain EBV testing if posterior nodes and fatigue predominate

Answer

Review Kawasaki features if fever persists five days

Streptococcal pharyngitis — CCFP MCQ

A 7-year-old has fever, severe sore throat, tender anterior cervical nodes, tonsillar exudate and no cough or rhinorrhea, with a sandpaper rash. What is the best next step?