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Antibiotics are indicated, however, in cases where the offending organism is group A hemolytic streptococcus.

The purpose of antibiotic treatment in these cases is prevention of potential renal and cardiac sequelae.

In addition, treatment of strep tonsillitis

Shortens the length of the illness

Irradicates the streptococcus from the pharynx so the infection cannot be transmitted to others

Prevents possible suppurative complications

The drug of choice is penicillin (if the patient is not penicillin allergic) for a 10-day course. Erythromycin can be used as a second-line agent. Clindamycin can also be utilized in patients who are allergic to penicillin.

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