(Bacterial Sore Throat)
|Sore Throat Due to Inflammation|
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- Exposure to family member or friend who has strep throat
- Crowded living situations
- Having strep living in the throat—occurs in 15% to 30% of people
- Red, sore throat with white patches
- Swollen, sore glands in the neck
- Red spots on the roof of the mouth
- Painful, difficult swallowing
- Nausea and possibly vomiting
- Decreased appetite
- Muscle aches, especially in the neck, and abdominal pains, especially in younger children
- Swelling in back of mouth
- Middle ear infection or sinus infection
- Peritonsillar abscess
- Bacterial meningitis
- Infective endocarditis
- Rarely, rheumatic fever and pediatric autoimmune neuropsychiatric disorders (PANDAS) associated with streptococcal infection
- Rapid antigen strep screen—Antigens are a part of the body's immune response to specific infection. This test can identify antigens within a few minutes of the test. However, a negative test does not mean you do not have strep throat (this is called a false negative).
- Throat culture—A sample of throat fluid is taken to a lab to see if strep bacteria grows. It takes a few days to gets results.
- Rapid DNA test—DNA technology is used to detect strep throat. The results are usually available in one day.
- Wash your hands carefully.
- Don't share beverages or food.
- Avoid exposure to other people who may have a strep infection.
- Replace your toothbrush after starting antibiotic treatment to prevent re-infecting yourself.
American Academy of Otolaryngology—Head and Neck Surgery http://www.entnet.org
Family Doctor—American Academy of Family Physicians http://familydoctor.org
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
Health Canada http://www.hc-sc.gc.ca
Cecil RL, Goldman L, Bennett JC. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders Company; 2000.
Choby BA. Diagnosis and treatment of streptococcal pharyngitis. Am Fam Physician. 2009;79(5):383-390.
Ebell MH, Smith MA, Barry HC, Ives K, Carey M. Does the patient have strep throat? JAMA. 2000; 284(22):2912-2918.
Montagnani F, Stolzuoli L, Croci L, et al. Erythromycin resistance in Streptococcus pyogenes and macrolide consumption in a central Italian region. Infection. 2009 Aug;37(4):353-357.
Neuner JM, Hamel MB, Phillips RS, Bona K, Aronson MD. Diagnosis and management of adults with pharyngitis. A cost effectiveness study. Ann Intern Med. 2003;139:113-122.
Pace B. JAMA patient page. Strep throat. JAMA. 2000;284(22):2964.
Ressel G. Practice guidelines: Principles of appropriate antibiotic use: part IV: Acute pharyngitis. Am Fam Physician. 2001;64(5):870-875.
Sore throats. American Academy of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/content/sore-throats. Accessed August 10, 2015.
Strep throat. Mayo Clinic website. Available at: http://www.mayoclinic.org/diseases-conditions/strep-throat/basics/definition/con-20022811. Updated December 20, 2012. Accessed August 10, 2015.
Streptococcal pharyngitis. DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 27, 2015. Accessed August 10, 2015.
- Reviewer: David Horn, MD
- Review Date: 08/2015 -
- Update Date: 08/10/2015 -