Physical examination should document the fever and proceed with a careful examination of the pharynx and neck for erythema, exudates, ulcerations and evidence of inability to swallow or difficulty in breathing. Cervical lymphadenopathy may be present with streptococcal disease or with URIs. A complete physical examination including dermatological examination for rashes and genitourinary examination for discharge should also be done. A beta-hemolytic streptococcus. Below is a list of tests to consider.
Most children usually have a self-limited, localized infectious disease process.
Viral pharyngitis and URIs should be treated symptomatically with fluids, humidity and anti-pyretics for comfort. Group A beta-hemolytic streptococcus can be confirmed by a positive rapid antigen test and treated with antibiotics if positive. Alternatively, a throat culture may be used and should always be done if a rapid antigen test is negative. Group A beta-hemolytic streptococcus is sensitive to penicillin, which is the drug of choice. Invasive disease should be treated promptly with attention to airway control.