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Letters |16 June 2015

Sore Throat: Avoid Overcomplicating the Uncomplicated

Jeffrey A. Linder, MD, MPH

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I agree with Dr. Centor about quite a lot in the management of patients with sore throat. In developed countries, rheumatic fever is a minor concern. Patients with Centor scores of 0 or 1 can be safely reassured. Those diagnosed with bacterial pharyngitis should be treated with penicillin. Physicians should not be overly anchored to guidelines if their patients are not doing well. The Lemierre syndrome can be devastating. However, we have legitimate disagreements. Dr. Centor's arguments recall other examples of injudicious antibiotic use.
The use of empirical penicillin to prevent the Lemierre syndrome is reminiscent of the...
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Linder JA. Sore Throat: Avoid Overcomplicating the Uncomplicated. Ann Intern Med. 2015;162:878–879. doi: 10.7326/L15-5100-2

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Published: Ann Intern Med. 2015;162(12):878-879.

DOI: 10.7326/L15-5100-2

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