Severe Acute Pharyngitis Caused by Group C Streptococcus
| Autor: | Mobin Shah, Robert M. Centor, May Jennings |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Case Reports/Clinical Vignettes medicine.disease_cause Acute Pharyngitis Throat culture stomatognathic system Streptococcal Infections tonsils otorhinolaryngologic diseases Internal Medicine medicine Sore throat Humans Peritonsillar Abscess medicine.diagnostic_test group C beta Streptococcus business.industry Enlarged tonsils Pharyngitis Dermatology Surgery stomatognathic diseases Acute Disease Female streptococcal pharyngitis Presentation (obstetrics) medicine.symptom business |
| Zdroj: | Journal of General Internal Medicine |
| ISSN: | 1525-1497 0884-8734 |
| Popis: | Introduction Adult group C beta-hemolytic streptococcal pharyngitis has a prevalence of approximately 5%. It can present with a broad spectrum of severity. Case report We report a 30-year-old woman who presented with severe Group C streptococcal pharyngitis. Discussion She presented with a 9-day history of progressive symptoms, including fever, sore throat, neck swelling, and recent onset of hoarseness. In the 9 days before the emergency room (ER) presentation, the patient had visited the ER twice complaining of a sore throat. At both visits, the physicians performed rapid antigen strep testing. Each time her test was negative and the physicians recommended symptomatic therapy. Her symptoms continued to worsen leading to her repeat presentation. At this time she had severe pharyngitis with markedly enlarged tonsils. Neck CT excluded peritonsillar abscess. Rapid strep testing was again negative, but her throat culture grew group C beta-hemolytic streptococcus. Conclusion This presentation illustrates the importance of a systematic approach to evaluating patients with negative rapid strep tests and worsening pharyngitis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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