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Strep Throat

more about Strep Throat

Strep Pharyngitis


  • This is an infection of the throat and tonsils that is caused by Group A streptococci bacteria.  It is transmitted by infected saliva droplets

  • Fever
  • Sore throat
  • Pain on swallowing
  • Swollen lymph glands in the back of the neck
  • Fatigue
  • Nausea

  • Examination:
    1. Throat, palate (roof of mouth), and tonsils are red.  Tonsils may have a white exudate (covering).
    2. Posterior-cervical adenopathy
    3. Rash (Scarlet Fever) which looks like a sunburn with fine red dots.
    4. Tongue may become "Strawberry" looking in appearance
  • Laboratory:
    1. Elevated white blood cell count
    2. Rapid strep antigen testing from a throat swab
    3. Culture is more accurate than rapid strep testing, but takes about 48 hours to make the diagnosis

  • Antibiotics -- many are effective, including penicillin, amoxicillin, or erythromycin

  • Special Consideration

- It is very important that "strep" throat be treated with antibiotics.  You should not try to fight the infection yourself.  Certain Proteins in the Group A streptococcus bacterium resemble those of human heart valves.  Therefore, if you fight off the infection yourself, you may form antibodies that can attack your heart valves, and hence get Rheumatic heart disease.  This may lead to permanent heart damage that occurs years later.

more about Strep Throat

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