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. 2012 Sep 9;55(10):e86–e102. doi: 10.1093/cid/cis629

Table 4.

Epidemiologic and Clinical Features Suggestive of Group A Streptococcal and Viral Pharyngitis

Feature, by Suspected Etiologic Agent

  • GROUP A STREPTOCOCCAL

  • Sudden onset of sore throat

  • Age 5–15 years

  • Fever

  • Headache

  • Nausea, vomiting, abdominal pain

  • Tonsillopharyngeal inflammation

  • Patchy tonsillopharyngeal exudates

  • Palatal petechiae

  • Anterior cervical adenitis (tender nodes)

  • Winter and early spring presentation

  • History of exposure to strep pharyngitis

  • Scarlatiniform rash

  • VIRAL

  • Conjunctivitis

  • Coryza

  • Cough

  • Diarrhea

  • Hoarseness

  • Discrete ulcerative stomatitis

  • Viral exanthema