20 doctors weighed in:
I have a very sore throat and ulcers on my uvula and tonsils. My culture showed group b strep. And my doc says I don't need an antibiotic. Still hurts?
20 doctors weighed in

Dr. David Astrachan
ENT - Head & Neck Surgery
6 doctors agree
In brief: Find another doctor
I would treat you with antibiotics.
Even if your primary infection is viral I have found that antibiotics can help prevent bacterial superinfection.

In brief: Find another doctor
I would treat you with antibiotics.
Even if your primary infection is viral I have found that antibiotics can help prevent bacterial superinfection.
Dr. David Astrachan
Dr. David Astrachan
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2 comments
Dr. Patrick Melder
TOTALLY AGREE.... see another doctor and get on antibiotics.
Dr. Milton Mintz
have another culture &sensitivity- no antibiotics for viral infection
Dr. LUIS IRIZARRY
Family Medicine
4 doctors agree
In brief: Strep pharyngitis
Pen vk is the treatment of choice.
Clindamycin if penicillin allergic.

In brief: Strep pharyngitis
Pen vk is the treatment of choice.
Clindamycin if penicillin allergic.
Dr. LUIS IRIZARRY
Dr. LUIS IRIZARRY
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1 comment
Dr. Jeb Teichman
26 years of looking at sore throats has taught me that it is not possible diagnose Strep throat by examination alone. When the diagnosis is confirmed by a rapid strep test or throat culture we generally treat with an antibiotic. Understand that antibiotics will shorten the coarse of the illness and decrease spread but the main reason for treating is to avoid complications.
3 doctors agree
In brief: Correct
Group a strep is the only type that needs to be treated.
Strep is actually a self limited disease, and is only treated to prevent rheumatic fever. Treating other forms of strep infection with antibiotics is unwarranted. I do not believe in the prevention of super infection. The inappropriate use of antibiotics leads to resistance.

In brief: Correct
Group a strep is the only type that needs to be treated.
Strep is actually a self limited disease, and is only treated to prevent rheumatic fever. Treating other forms of strep infection with antibiotics is unwarranted. I do not believe in the prevention of super infection. The inappropriate use of antibiotics leads to resistance.
Dr. Anthony LaBarbera
Dr. Anthony LaBarbera
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1 comment
Dr. Robert Knox
While Group B does not cause the immunologic complications, it can cause the suppurative complications - peritonsillar / parapharyngeal / retropharyngeal abscesses. We know there a generally many bacteria present with any "viral" infection also.
Dr. Robert Knox
ENT - Head & Neck Surgery
3 doctors agree
In brief: Tonsillitis Antibiot
If your cultures showed a bacterial infection, adding an antibiotic will prevent complications of the infection.
Go see another doctor for antibiotics. While only strep throat can cause rare events like rheumatic fever and kidney infection, any bacterial infection can have "infectious" complications. Antibiotics generally prevent these complications.

In brief: Tonsillitis Antibiot
If your cultures showed a bacterial infection, adding an antibiotic will prevent complications of the infection.
Go see another doctor for antibiotics. While only strep throat can cause rare events like rheumatic fever and kidney infection, any bacterial infection can have "infectious" complications. Antibiotics generally prevent these complications.
Dr. Robert Knox
Dr. Robert Knox
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David Miller
Family Medicine
2 doctors agree
In brief: Group B?
If you have group b strep in your throat then you don't have strep throat and likely don't need antibiotics.
Group a strep is what causes strep throat, rheumatic fever and other complications.

In brief: Group B?
If you have group b strep in your throat then you don't have strep throat and likely don't need antibiotics.
Group a strep is what causes strep throat, rheumatic fever and other complications.
David Miller
David Miller
Answer assisted by David Miller, Medical Student
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1 comment
Dr. Robert Knox
We must remember the suppurative complications of bacterial tonsillitis, while uncommon can occur with any bacterial infection.
Dr. Swati Avashia
Internal Medicine & Pediatrics
1 doctor agrees
In brief: Viral causes?
Group b strep in the throat may not be the true cause for your symptoms.
It's not what causes "strep throat", that's group a strep. Perhaps your doctor thinks you have an enteroviral infection, those can cause oral ulcers.

In brief: Viral causes?
Group b strep in the throat may not be the true cause for your symptoms.
It's not what causes "strep throat", that's group a strep. Perhaps your doctor thinks you have an enteroviral infection, those can cause oral ulcers.
Dr. Swati Avashia
Dr. Swati Avashia
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