A member asked:

College son with sore throat told had mono but symptoms gone in 2 days. culture came back positive for strep after. does he need antibiotics anyway?

5 doctors weighed in across 2 answers
Dr. Oscar Novick answered

Specializes in Pediatrics

Strep: Strep can often accompany infectious mono. The strep still needs to be treated

Answered 9/18/2017

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Likely yes: The rapid tests done for both Mono and strep throat are wrong about 5-7 percent of the time. A culture is gold-standard, and if that was positive, he had strep throat. I suspect the mono diagnosis was made because he had a really gross looking throat and the rapid test came back negative, so the doc told him it must be mono. But cultures don't lie. So he has strep and needs the antibiotics for it.

Answered 9/18/2017

3.7k views

Thank

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