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  • Title: Beta-hemolytic streptococcal pharyngitis: uncommon in infectious mononucleosis.
    Author: Merriam SC, Keeling RP.
    Journal: South Med J; 1983 May; 76(5):575-6. PubMed ID: 6342149.
    Abstract:
    Infectious mononucleosis (IM) and beta-hemolytic streptococcal pharyngitis may present similar clinical pictures and may occur concurrently; however, recent studies have differed sharply with older ones that cited high rates of concurrent disease. Our study of 100 consecutive new patients meeting strict criteria for a diagnosis of IM found only 4% with positive throat cultures for group A beta-hemolytic streptococci at the time of diagnosis. Use of antibiotics for presumed streptococcal pharyngitis in patients with IM is unjustified. Only patients with positive cultures should be treated.
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