Case of the Month
Case of the Month - Sept 2022

Case of the Month - Sept 2022

Case Synopsis

A 35-year-old man presents to your clinic with sore throat for two days and subjective fever. He denies cough or dyspnea.

He has no other medical history and is otherwise healthy. He reports an allergy to penicillin with an unknown childhood reaction.

His temperature is 38.1ºC and his anterior cervical lymph nodes are swollen and tender. You note tonsillar exudate and swelling. Rapid throat swab testing for Group A Streptococcus is positive. 

Given his Centor score and results of his rapid strep test, you wish to prescribe antimicrobials.

True or false? Fewer than 5 in 10,000 people have a true penicillin allergy.