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Strep Throat

Medical Author: Siamak Nabili, MD, MPH
Medical Editors: William C. Shiel, Jr., MD, FACP, FACR and Melissa Conrad Stöppler, MD

Strep Throat Treatment

Antibiotics: The Entire Prescription, or Else...

Because of potential significant complications, if strep throat is detected, it must be treated adequately with antibiotics. It is important to take the full course of antibiotics as prescribed and not to stop the medication when symptoms resolve. Prematurely discontinuing antibiotics can result in the infection being inadequately treated, with potentially adverse consequences or relapse of the infection.

What is strep throat?

While many people use the terms sore throat, tonsillitis, and strep throat interchangeably, there are significant clinical differences between these conditions. Understanding the differences can give patients a better idea of how and when to be concerned and when to seek advice from a physician.

Strep throat is only one of many possible causes of throat infection and sore throat. While strep throat is most common in children and adolescents, it can affect people of all ages.

What causes sore throat?

Sore throat may have many causes. The most common causes of sore throat are infections of the throat and the surrounding structures. Any inflammation or infection of the pharynx, tonsils, esophagus (the food pipe), or larynx (the top opening part of the windpipe) may cause sore throat.

What are the tonsils and tonsillitis?

The tonsils are red, oval clumps of tissue located at the back and to the sides of the throat. This location allows the tonsils to intercept germs as they enter the body through the nose and throat. They contain infection-fighting cells and antibodies (infection-fighting proteins in the body) that stop the spread of the germs further into the body.

When the tonsils become red, sore, and swollen, this inflammation is called tonsillitis. This is not a specific term, as there are many causes of inflammation of the tonsils. Tonsillitis is a common cause of sore throat.

What are the pharynx and pharyngitis?

The pharynx is the area in the back of the throat shared by the oral cavity and the nasal cavity behind the palate. An infection or inflammation of the pharynx is called pharyngitis. The infectious causes are similar to those causing tonsillitis, which are mainly related to viruses and less commonly to bacterial infection.

Because it is difficult to always distinguish exactly between pharyngitis and tonsillitis, throat infections are commonly referred to as tonsillopharyngitis, which signifies an infection of the tonsils, or pharynx, or both.



Next: Can viruses cause throat infection? »

Strep Throat - Length Symptoms Lasted

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Strep Throat

What is rheumatic fever?

Rheumatic fever (acute rheumatic fever or ARF) is an autoimmune disease that may occur after a group A streptococcal throat infection that causes inflammatory lesions in connective tissue, especially that of the heart, joints, blood vessels, and subcutaneous tissue. The disease has been described since the 1500s, but the association between a throat infection and rheumatic fever symptom development was not described until the 1880s. It was associated with scarlet fever (rash caused by streptococcal exotoxins) in the 1900s. Prior to the broad availability of penicillin, rheumatic fever was a leading cause of death in children and one of the leading causes of acquired heart disease in adults. The disease has many symptoms and can affect different parts of the body, including the heart, joints, skin, and brain. There is no simple diagnostic test for rheumatic fever, so the American Heart Association's modified Jones criteria (f...

Read the Rheumatic Fever article »











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