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Do you typically narrow to penicillin or first-generation cephalosporin or continue broader anaerobic coverage for patients with cervical lymphadenitis requiring surgical drainage whose cultures grow only group A strep and gram stains only gram positive cocci?

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What antibiotic would you give to a patient with cervical lymphadenitis requiring surgical drainage whose cultures grow only group A strep and gram stains only gram positive cocci?

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1 Answer
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Infectious Disease · Geisel School of Medicine
Answered on

I think the question is getting at whether to continue covering for anaerobes that may come from the oropharynx, even in scenarios where you have proven Group A Strep. In such scenarios, I would typically attribute Group A Strep as the main pathogen and thus focus my treatment on this organism and w...

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