Penicillin is still the best for streptococcus pyogenes and pneumococcal pneumonia!
I would like to congratulate Dr. Walid Al-Wali.
And most important is the message of Prof. Cleary and Prof. Rohde:
Streptococci are intracellular microbes.
You will not find them by swab.
And the the blood-stream infection by streptococci is only the tip of the iceberg of not diagnoses streptococcal infections.
And the best treatment is penicillin.
Yours Friedrich Flachsbart
J. J. Ferretti, D. L. Stevens, V. A. Fischetti: Streptococcus pyogenes: Basic Biology to clinical manifestations. (Internet)
University of Oklahoma Health Sciences, 2016.
M. Rohde, P. P. Cleary: Adhesion and invasion of Streptococcus pyogenes into host cells and clinical relevance of intracellular streptococci.
a. a. O.
Competing interests: No competing interests