FeverPAIN Score for Strep Pharyngitis

Fever in past 24 hours
Absence of cough or coryza
Symptom onset ≤3 days
Physical Exam Findings
Purulent tonsils
Severe tonsil inflammation

Result :
FeverPAIN Score for Strep Pharyngitis is 0 points
13-18% isolation of streptococcus.
Unlikely streptococcal infection; antibiotics not recommended.


Little P, et al. Incidence and clinical variables associated with streptococcal throat infections: a prospective diagnostic cohort study. Br J Gen Pract. 2012 Nov;62(604):e787-94.

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