Clinical- Group A Strep Flashcards
cause of pharyngitis in school age kids
group A strep
cause of pharyngitis in preschool kids
staph aureus
complications of untreated strep
otitis media sinusitis abscesses RF glomerulonephritis
scarlett fever
group A strep + sandpaper rash
strep is spread
contact with infected persons
NOT fomites or animals
who does not get RF
young kids- lack immune response to it
incubation period for strep
2-5 days
can carriers spread it?
unknown- probably
1+ tonsils
sorta showing
2+ tonsils
showing
3+ tonsils
showing a lot, not touching
4+ tonsils
touching
DDx for fever, abdominal pain, and vomitting in child
gastroenteritis
pneumonia
GAS
signs and symptoms of GAS pharyngitis
fever, abdominal pain, vomitting red, enlarged tonsils palatal petichiae exudative tonsils lack of cough, coryzea, congestion, URI symptoms, diarrhea
confirmatory cultures
rapid antigen swab
culture
symptoms GAS
fever, abdominal pain, vomitting
red, enlarged tonsils
palatal petichiae
exudative tonsils
GAS treatment
penicillin or macrolides
main reason to great GAS
prevent rheumatic fever
severe invasive strep syndrome
fever, erythroderma, multiple organ damage, positive blood cultures
scarlet fever symptoms
fever enlarged, red tonsils strawberry tongue circumoral pallor blanching sandpaper rash pastia lines
cause of scarlet fever
erythrogenic toxin release
impetigo
benign highly contagious skin infection
ARF symptoms
heart murmur hepatomegaly blanching red rash elevated ESR, CRP prlonged PR interval culture + GAS
when can ARF happen
10-42 days post GAS infection
post strep glomerulonephritis
glomerular vessel inflammmation- decreases kidney filtering
JONES criteria
joint pain heart issues nodules erythma marginatum rash syndenham's chorea
primary prophylaxis
pen to prevent ARF
secondary prophylaxis
life long antibiotics to prevent recurrence or rheumatic heart disease or worsening
