Strep Pharyngitis Flashcards
What is Strep?
Infection of pharynx or tonsils with Group A beta hemolytic strep
Most common age of Strep?
5 to 15, can happen at any age
How is strep transmitted?
Direct contact/droplet
Incubation period of strep?
2-5 days
Something in patient history that is freqently missed that is a clue?
Headaches
What is strep sometimes confused with?
Viral pharygitis
Coxsackie
Herpes
How do you diagnose strep?
Rapid strep test
What is rapid strep test based on?
Nitrous acid extraction of Group A carbohydrate antigen bacteria
Main treatment for strep?
Penicillin
In penicillin senstiive people what do you use?
Erythromycin
How high is the carrier state for strep?
10-20%
What do you use for carrier state?
Benzathing penicillin G
How do you get scarlet fever?
Erythrogenic exotoxin in strep organism
Incubation period for scarlet fever?
1-7 days
In scarlet fever where does rash start?
First in axillae, groin, neck. Then face, trunk, hands, and feet
How do you treat scarlet fever?
Penicillin for 10 days
Etiology of rheumatic fever?
Group A beta hemolytic strep pharyngitis
How to prevent Strep?
Oral daily penicillin
Bicillin injection 1x per month
What causes Glomerulonephritis?
group A beta hemolytic strop throat or skin infection 1 to 2 weeks preceding development
How do you diagnose Glomerulonephritis?
Hematuria (RBC casts)
Abdominal/flank pain
Signs of renal failure?
Edema
Congestive heart failure
Encephalopathy
Very rare problem following GABHS pharyngitis or tonsillitis?
Toxic Shock Syndrome
