In their article, Humair et al1 recommend the use of the streptococcal test and Centor criteria as valid tests for the diagnosis of pharyngitis in adults. After consulting the Internet guidelines on acute sore throat (see “Additional Information” at the end of this letter), we cannot share their opinion for the following reasons:
Correspondence: Dr Matthys, General Practice and Primary Health Care, University of Ghent, De Pintelaan 185, Gent 9000, Belgium (firstname.lastname@example.org).
Matthys J, De Meyere M. Acute Pharyngitis: No Reliability of Rapid Streptococcal Tests and Clinical Findings. Arch Intern Med. 2006;166(20):2285. doi:10.1001/archinte.166.20.2285-a