Strep throat natural history: Difference between revisions
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{{Strep throat}} | {{Strep throat}} | ||
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==Overview== | ==Overview== | ||
If left untreated, group A streptococcal [[pharyngitis]] may be self-limiting. In some cases, complications such as [[peritonsillar abscess]], [[retropharyngeal abscess]], [[mastoiditis]], and [[Lymphadenitis|cervical lymphadenitis]] may develop in untreated patients.<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid18731131">{{cite journal| author=Rantz LA| title=THE NATURAL HISTORY OF HEMOLYTIC STREPTOCOCCUS SORE THROAT. | journal=Calif Med | year= 1946 | volume= 65 | issue= 6 | pages= 265-70 | pmid=18731131 | doi= | pmc=1642726 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18731131 }} </ref><ref name="pmid21965709">{{cite journal| author=Langlois DM, Andreae M| title=Group A streptococcal infections. | journal=Pediatr Rev | year= 2011 | volume= 32 | issue= 10 | pages= 423-9; quiz 430 | pmid=21965709 | doi=10.1542/pir.32-10-423 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21965709 }} </ref> Less commonly, [[post-streptococcal glomerulonephritis]], [[Rheumatic fever|rheumatic fever,]] and [[toxic shock syndrome]] may develop as delayed complications. Rarely, [[vasculitis]] may occur. The [[prognosis]] of strep throat is good with treatment; complications rarely develop with adequate treatment. | |||
==Natural history== | |||
==Natural history== | |||
If left untreated, group A streptococcal [[pharyngitis]] may be self-limiting. In some cases, complications such as [[peritonsillar abscess]], [[retropharyngeal abscess]], [[mastoiditis]], and [[Lymphadenitis|cervical lymphadenitis]] may develop in untreated patients which may results in [[septic shock]] or death if they are not managed appropriately.<ref name="cdcp" /><ref name="pmid18731131" /><ref name="pmid21965709" /> Less commonly, delayed chronic complications such as [[post-streptococcal glomerulonephritis]], [[Rheumatic fever|rheumatic fever,]] and [[toxic shock syndrome]] may develop. Rarely, [[vasculitis]] may occur. | |||
==Complications== | ==Complications== | ||
Complications that can develop as a result of strep throat may be divided into suppurative and non suppurative types:<ref name=cdcp>http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid21965709">{{cite journal| author=Langlois DM, Andreae M| title=Group A streptococcal infections. | journal=Pediatr Rev | year= 2011 | volume= 32 | issue= 10 | pages= 423-9; quiz 430 | pmid=21965709 | doi=10.1542/pir.32-10-423 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21965709 }} </ref> | Complications that can develop as a result of strep throat may be divided into [[suppurative]] and non-suppurative types:<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid21965709">{{cite journal| author=Langlois DM, Andreae M| title=Group A streptococcal infections. | journal=Pediatr Rev | year= 2011 | volume= 32 | issue= 10 | pages= 423-9; quiz 430 | pmid=21965709 | doi=10.1542/pir.32-10-423 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21965709 }} </ref> | ||
===Suppurative=== | ===Suppurative=== | ||
*Peritonsillar | *[[Peritonsillar abscess]] | ||
*Retropharyngeal | *[[Retropharyngeal abscess]] | ||
*Otitis media | *[[Otitis media]] | ||
*Sinusitis | *[[Sinusitis]] | ||
*Cervical lymphadenitis | *Cervical [[lymphadenitis]] | ||
*Mastoiditis | *[[Mastoiditis]] | ||
===Non suppurative === | *[[Vasculitis]] | ||
*Rheumatic fever | '''Images of [[vasculitis]] after Streptococcal throat infection''' | ||
*Acute glomerulonephritis | |||
*Toxic shock syndrome | [[File:Strep vasculitis 1.jpg|Streptococcal vasculitis|left|thumb|300px| Case courtesy of wikidoc.org]] | ||
[[File:Strep vasculitis 2.jpg|Streptococcal vasculitis|left|thumb|300px| Case courtesy of wikidoc.org]] | |||
<br style="clear:left" /> | |||
===Non-suppurative === | |||
*[[Rheumatic fever]] | |||
*[[Acute glomerulonephritis]] | |||
*[[Toxic shock syndrome]] | |||
==Prognosis== | ==Prognosis== | ||
The [[prognosis]] of strep throat is good with treatment. Complications rarely develop with adequate treatment.<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref> | |||
==References== | ==References== | ||
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[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Otolaryngology]] | |||
Latest revision as of 00:19, 30 July 2020
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Strep throat Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Strep throat natural history On the Web |
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American Roentgen Ray Society Images of Strep throat natural history |
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Risk calculators and risk factors for Strep throat natural history |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]; Aysha Anwar, M.B.B.S[3]
Overview
If left untreated, group A streptococcal pharyngitis may be self-limiting. In some cases, complications such as peritonsillar abscess, retropharyngeal abscess, mastoiditis, and cervical lymphadenitis may develop in untreated patients.[1][2][3] Less commonly, post-streptococcal glomerulonephritis, rheumatic fever, and toxic shock syndrome may develop as delayed complications. Rarely, vasculitis may occur. The prognosis of strep throat is good with treatment; complications rarely develop with adequate treatment.
Natural history
If left untreated, group A streptococcal pharyngitis may be self-limiting. In some cases, complications such as peritonsillar abscess, retropharyngeal abscess, mastoiditis, and cervical lymphadenitis may develop in untreated patients which may results in septic shock or death if they are not managed appropriately.[1][2][3] Less commonly, delayed chronic complications such as post-streptococcal glomerulonephritis, rheumatic fever, and toxic shock syndrome may develop. Rarely, vasculitis may occur.
Complications
Complications that can develop as a result of strep throat may be divided into suppurative and non-suppurative types:[1][3]
Suppurative
- Peritonsillar abscess
- Retropharyngeal abscess
- Otitis media
- Sinusitis
- Cervical lymphadenitis
- Mastoiditis
- Vasculitis
Images of vasculitis after Streptococcal throat infection
Non-suppurative
Prognosis
The prognosis of strep throat is good with treatment. Complications rarely develop with adequate treatment.[1]
References
- ↑ 1.0 1.1 1.2 1.3 http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016
- ↑ 2.0 2.1 Rantz LA (1946). "THE NATURAL HISTORY OF HEMOLYTIC STREPTOCOCCUS SORE THROAT". Calif Med. 65 (6): 265–70. PMC 1642726. PMID 18731131.
- ↑ 3.0 3.1 3.2 Langlois DM, Andreae M (2011). "Group A streptococcal infections". Pediatr Rev. 32 (10): 423–9, quiz 430. doi:10.1542/pir.32-10-423. PMID 21965709.