Since the rheumatic fever and
glumerulonephritis is as a result of pharyngitis following streptococcal
hemolytica type A and a delay in its treatment can lead to other
complications, and considering this fact that rheumatic fever is the main
cause of heart disease, especially in lower ages in developing countries,
and its prevention can decrease mortality , in this study the
microorganism responsible for pharyngitis and its clinical diagnosis was
examined in 300 children referred to Imam Hossein hospital.
The descriptive strategy of this study was performed on
300 patients with sore throat from 1 to 15 years old referred to chilren
clinic of Imam Hossein hospital during 1993- 1994. After taking history
and performing clinical examination, one sterile swap was touched to and
collected from the tonsilar region of pharynx and then was cultured. The
related data was recorded in research questionnaire. After classification,
the data were statistically analyzed.
Out of 300 cases, 240(80%) were boys and 60(20%)were
girls. The most common clinical symptom was sore throat (69%) and the most
common streptococcal agent was hemolytica type A (23%) .Most of the
patients with pharyngitis (81%) were at an age group of 5-15 years. In
addition, the existence of streptococcus in cluture was verified in 45% of
In conclusion, positive cases of streptococcus in culture
should be carefully treated to prevent the ensuing complication.
Keywords: Pharyngitis, Streptococcus, Exudate