Streptococcal pharyngitis, infectious mononucleosis, or both? A diagnostic dilemma in pediatric pharyngitis.

IF 2.5 4区医学 Q2 PEDIATRICS

Paediatrics & child health Pub Date : 2026-07-27 eCollection Date: 2026-09-01 DOI:10.1093/pch/pxag080

Kazuki Iio, Horton James Lee, Evridiki Fera

引用次数: 0

Abstract

Infectious mononucleosis (IM) is a common cause of pharyngitis in children, particularly among adolescents. IM is a self-limiting condition, and differentiating it from other causes of pharyngitis that require treatment is key to its management. One such condition is group A streptococcal (GAS) pharyngitis, which can be complicated by acute rheumatic fever if left untreated. In this report, we present a case of suspected IM with a positive GAS rapid antigen detection test, highlight the evidence surrounding these two conditions, and discuss the clinical dilemma of performing GAS testing in patients with an IM-like presentation.

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链球菌性咽炎，传染性单核细胞增多症，还是两者兼而有之？儿童咽炎的诊断困境。

传染性单核细胞增多症（IM）是儿童咽炎的常见原因，尤其是青少年。IM是一种自限性疾病，将其与需要治疗的其他原因的咽炎区分开来是其管理的关键。其中一种情况是A组链球菌（GAS）咽炎，如果不及时治疗，可并发急性风湿热。在本报告中，我们报告了一例疑似IM阳性的GAS快速抗原检测试验，强调了围绕这两种情况的证据，并讨论了在IM样表现的患者中进行GAS检测的临床困境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatrics & child health 医学-小儿科

CiteScore

2.10

自引率

5.30%

发文量

208

审稿时长

>12 weeks

期刊介绍： Paediatrics & Child Health (PCH) is the official journal of the Canadian Paediatric Society, and the only peer-reviewed paediatric journal in Canada. Its mission is to advocate for the health and well-being of all Canadian children and youth and to educate child and youth health professionals across the country. PCH reaches 8,000 paediatricians, family physicians and other child and youth health professionals, as well as ministers and officials in various levels of government who are involved with child and youth health policy in Canada.