: This article provided an excellent overview of the diagnosis and treatment of strep throat. The author indicates that amoxicillin is “equally effective and more palatable” than using penicillin. I was taught to avoid using ampicillin or amoxicillin to treat strep throat because acute mononucleosis may be the problem, and that it presents much like a strep throat in the acute phase. When patients with “mono” are given ampicillin or amoxicillin, a generalized red rash often appears. Is this classic advice taught to me in the 1970s out of date? Acute mononucleosis is occasionally misdiagnosed as acute group A beta-hemolytic streptococcal (GABHS) pharyngitis. In patients treated with antibiotics who actually have acute infectious mononucleosis, a generalized maculopapular or urticarial rash sometimes develops. Although “classic advice” attributes the rash to the use of ampicillin or amoxicillin, it can also occur with other antibiotics, including cephalexin (Keflex),1 azithromycin (Zithromax),2 levofloxacin (Levaquin),3 and others. Strep throat is a common disease that mainly affects children, but can also easily spread to adults. When left untreated, strep throat can potentially lead to some serious complications. Thankfully, we have the convenience of antibiotics, which can cure your strep throat quickly and effectively. Let’s take a look at strep throat and some common antibiotics that can be used for treatment. Strep throat is a bacterial infection of the throat and tonsils. The main bacteria responsible for causing strep throat is known as . This strain of bacteria is also known to cause certain skin infections, like impetigo and cellulitis.
Strep throat is caused by streptococcal (strep) bacteria. A sore throat caused by a virus can be just as painful as strep throat. Although some people are quick to think that any painful sore throat is strep, sore throats are usually caused by a and not strep bacteria. But if you have cold symptoms such as coughing, sneezing, or a runny or stuffy nose, you probably do not have strep throat. The most common symptoms of strep throat are: , vomiting, not feeling hungry, and body aches. When a person who has strep throat breathes, coughs, or sneezes, tiny droplets with the strep bacteria go into the air. If you come into contact with strep, it will take 2 to 5 days before you start to have symptoms. Your doctor will do a physical examination, ask you about your symptoms and past health, and do a lab test such as a throat culture or rapid strep test. To do a throat culture, the doctor will swab a sample of cells from the back of your throat. The sample will go into a special cup (culture) where the strep bacteria can grow over time. Other symptoms may include headache, abdominal pain, nausea, and vomiting — especially among children. Patients with group A strep pharyngitis typically do not typically have cough, rhinorrhea, hoarseness, oral ulcers, or conjunctivitis. On clinical examination, patients with group A strep pharyngitis usually have Patients with group A strep pharyngitis may also present with a scarlatiniform rash. The resulting syndrome is called scarlet fever or scarlatina. Respiratory disease caused by group A strep infection in children younger than 3 years old rarely manifests as acute pharyngitis. These children usually have mucopurulent rhinitis followed by fever, irritability, and anorexia (called “streptococcal fever” or “streptococcosis”). In contrast to typical acute group A strep pharyngitis, this presentation in young children is subacute and high fever is rare. Group A strep pharyngitis is most commonly spread through direct person-to-person transmission.
Learn about Amoxil Amoxicillin may treat, uses, dosage, side effects, drug. to susceptible ONLY β-lactamase–negative isolates of Streptococcus species. Mar 12, 2018. Can you tell the difference between a sore throat and Strep Throat? Here's how to tell the two apart and what you should do for recurring strep.