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溶連菌性咽頭炎,治療するか?

溶連菌,抗生剤を使う必要があるのか? UpToDateをみてみる

・最初の2日間以内の投与なら,症状を軽減する
・咽頭後膿瘍,リンパ節炎,乳頭筋膿瘍などの可能性を減らす
・リウマチ熱を減らす
・6歳未満の子どもは溶連菌感染後腎炎が多い.
・抗生剤投与すれば2日で培養陰性になるが,内服しないと1ヶ月菌陽性
 →うつさないように,治療すべき

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