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Kerdemelidis M et al. – Patients presenting with sore throats need to have their risk of developing rheumatic fever assessed, and then the risk of GAS pharyngitis determined. Appropriate antibiotic therapy is instigated on the basis of proven or likely GAS pharyngitis. Ten days of oral penicillin V is the first–line treatment. Other household members are at high risk of infection. Unnecessary antibiotic use is a guiding principle in low risk patients.

   

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