209521
Streptococcal
Pharyngitis
- Clinical Presentation
- fever >101.5,
dysphagia/odynophagia,
tonsilar exudate anterior
cervical adenopathy
erythema and swelling of
throat,
- secondary s/s
- ear pain,
abdominal
pain,
nausea,
vomiting
- ear pain,
abdominal
pain,
nausea,
vomiting
- secondary s/s
- fever >101.5,
dysphagia/odynophagia,
tonsilar exudate anterior
cervical adenopathy
erythema and swelling of
throat,
- Management
- Treatment
- Medications
- Penicillin V (10 days),
Penicillin G (IM Injection),
Amoxicillion (10 days),
Cephalasporins
- Penicillin V (10 days),
Penicillin G (IM Injection),
Amoxicillion (10 days),
Cephalasporins
- Medications
- Investigations
- Rapid Strep Screen
- if negative, Throat Culture
- 24-48hr wait for results
- 24-48hr wait for results
- if negative, Throat Culture
- CBC r/o Mono
KOH Slide
- Rapid Strep Screen
- Treatment
- Pathophysiology
- causes
- streptococcus
pyogenes
- responsible for 15-30% disease
- responsible for 15-30% disease
- streptococcus
pyogenes
- Contagious period over
after 24h of starting abx
- causes
- Epidemiology
- non-invasive group A steptococal infection
- colonoziation of upper respiratory tract
- colonoziation of upper respiratory tract
- non-invasive group A steptococal infection
- Risk Factors
- young age, time
of year (late fall
early spring),
close contact
(schools, families)
bacteria flourish in
close contact
- young age, time
of year (late fall
early spring),
close contact
(schools, families)
bacteria flourish in
close contact
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