Acute

Usual Pathogens

Group A Streptococci

Symptomatic therapy

Empiric Therapy Dose Duration
Analgesic/antipyretic    
+    
Penicillin VK 600mg PO bid or 10 days
  300mg PO tid  

Penicillin/amoxicillin allergy

Empiric Therapy Dose Duration

Cefuroxime axetil

500mg PO bid 10 days
Alternative    
Azithromycin 500mg PO daily 3 days
or    
Clarithromycin 250mg PO bid 10 days
or    
Clindamycin 300mg PO tid 10 days