Streptococcal pharyngitis

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Streptococcal pharyngitis
A positive result on a rapid strep test, showing the presence of Group A Streptococcus
Synonyms Strep throat
Pronounce N/A
Specialty N/A
Symptoms Sore throat, fever, headache, nausea, vomiting, abdominal pain
Complications Rheumatic fever, post-streptococcal glomerulonephritis, peritonsillar abscess
Onset Rapid
Duration 3–5 days
Types N/A
Causes Group A Streptococcus
Risks Age (5–15 years), close contact with infected individuals
Diagnosis Rapid antigen detection test, throat culture
Differential diagnosis Viral pharyngitis, infectious mononucleosis, diphtheria
Prevention Hand washing, avoiding close contact with infected individuals
Treatment Antibiotics such as penicillin or amoxicillin
Medication Analgesics for pain relief
Prognosis Excellent with treatment
Frequency Common in children
Deaths Rare


Streptococcal pharyngitis, commonly known as strep throat, is an infection of the pharynx (throat) caused by the Group A Streptococcus (GAS) bacteria, specifically Streptococcus pyogenes. Strep throat is a common illness, especially among children and adolescents, and can lead to complications if left untreated.

Strep throat

Positive strep throat

Signs and symptoms[edit]

The primary symptoms of strep throat include:

  • Sudden onset of throat pain
  • Painful swallowing
  • Red and swollen tonsils, sometimes with white patches or streaks of pus
  • Small red spots on the roof of the mouth
  • Swollen and tender lymph nodes in the neck
  • Fever
  • Headache
  • Rash
  • Nausea and vomiting (more common in younger children)
  • Body aches and fatigue

Transmission[edit]

Streptococcal pharyngitis is transmitted through respiratory droplets, often from an infected individual's cough or sneeze. It can also be spread through contact with contaminated surfaces, such as shared utensils or drinking glasses.

Diagnosis[edit]

Diagnosis of strep throat is typically based on a combination of symptoms and a physical examination. A rapid strep test or throat culture may be performed to confirm the presence of the GAS bacteria.

Treatment[edit]

Treatment for strep throat usually involves a course of antibiotics, such as penicillin or amoxicillin, to eliminate the infection and prevent complications. Over-the-counter pain relievers and fever reducers, like ibuprofen or acetaminophen, may also be recommended to manage symptoms.

Complications[edit]

If left untreated or inadequately treated, strep throat can lead to complications, including: Rheumatic fever: an inflammatory disease that can damage the heart, joints, and other tissues Post-streptococcal glomerulonephritis: a kidney disorder caused by an immune response to the strep infection Scarlet fever: a rash caused by a toxin produced by some strains of GAS bacteria Peritonsillar abscess: a collection of pus behind the tonsils Mastoiditis: an infection of the mastoid bone in the skull

Prevention[edit]

Preventative measures for strep throat include maintaining good hygiene, such as washing hands frequently, avoiding close contact with infected individuals, and not sharing personal items like toothbrushes or utensils.

See also[edit]

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