| Autor: |
Holm, Stig E., Ekedahl, Claes, Bengtsson, Ulla |
| Zdroj: |
Scandinavian Journal of Infectious Diseases; June 1973, Vol. 5 Issue: 2 p115-122, 8p |
| Abstrakt: |
Abstract271 patients with sore throat and clinical signs of acute tonsillitis were studied. Group A streptococci were isolated from 115 patients; 48 of these had potentially nephritogenic types. In 65 of the patients penicillin therapy started within the first 2 days after the first sign of infection; the remaining 35 were treated within 4 days. The clinical term “typical streptococcal tonsillitis” does not seem correct as the same symptoms were present whether streptococci were found or not. A raised erythrocyte sedimentation rate was found in higher frequency among patients with potentially nephritogenic streptococci. A rising antistreptolysin O level was found only among these patients. Mild proteinuria and hematuria were noted 2 weeks after the infection in 11 patients equally distributed among patients with nephritogenic, non-nephritogenic, or with no streptococci. None of the patients developed the clinical picture of acute glomerulonephritis. It is likely that an early penicillin treatment of tonsillitis results in a lowered frequency of acute glomerulonephritis. |
| Databáze: |
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