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An Understated Myth? Strep Throat & Rheumatic Fever

Sore throat (aka, pharyngitis) is the 3rd most common complaint for physician visits.  Although the overwhelming majority of these cases are viral in origin (rhinovirus ~20%), the major focus of our attention in the ED stems around the question of “strep (GAS) vs not strep” and who gets antibiotics…. does anyone need antibiotics? And what about rheumatic fever?