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Clinical Pediatrics
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Children Less Than Three-Years-Old With Pharyngitis

Are Group A Streptococci Really That Uncommon?

Richard H. Schwartz, MD

Research Foundation, Children's Hospital National Medical Center, Washington, D.C.

Gregory F. Hayden, MD

Department of Pediatrics, Children's Medical Center of the University of Virginia, Charlottesville, Virginia

Raoul Wientzen, MD

Department of Pediatrics, Georgetown University Hospital, Washington, D.C.

During a 15-month period, 148 infants and children less than 3-years-old who presented with signs and/or symptoms of pharyngitis were monitored in a private pediatric practice. Clinical signs included fever (95 or 64%), tonsillar exudate (16 or 11%), and cervical adenopathy (5 or 3%). Beta-hemolytic streptococci (BHS) from group A were isolated from throat swabs in 37 (25%) instances. These isolations were more common among children 25-35 months old than among children less than 2 years old (35% vs. 19%, p < 0.05), and were significantly more likely when overnight anaerobic culture techniques were used rather than conventional aerobic methods (23 % vs. 11%, p < 0.01).

Group A BHS may be isolated relatively frequently from symptomatic children under 3-years-old. Whether these isolations reflect invasive infection or asymptomatic carriage is uncertain.

Clinical Pediatrics, Vol. 25, No. 4, 185-188 (1986)
DOI: 10.1177/000992288602500403
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