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Analysis of an Outbreak at a College

Jack D. McCue, MD

JAMA. 1982;248(11):1333-1336.

Abstract
Sixty-eight patients with group G β-hemolytic streptococcal pharyngitis were treated at a student health service during a nine-day period. The illness, probably spread among students by respiratory droplet, was indistinguishable from adult group A streptococcal pharyngitis, with a majority of students having exudate, fever, and adenitis. Poor compliance with antibiotic treatment was associated with elevated antistreptolysin o titers and persistently positive throat culture results. Treatment did not affect overall duration of symptomatic illness.

(JAMA 1982;248:1333-1336)

Author Affiliations
From the Department of Medicine, University of North Carolina at Chapel Hill, and the Internal Medicine Teaching Program, Moses H. Cone Memorial Hospital, Greensboro, NC.

Footnotes
Reprint requests to Medical Teaching Service, Moses H. Cone Memorial Hospital, 1200 N Elm St, Greensboro, NC 27420 (Dr McCue).

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