Strep throat natural history: Difference between revisions

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{{CMG}}; {{AE}} {{AA}}
{{CMG}}; {{AE}} {{AA}}
==Overview==
==Overview==
If left untreated, group A streptococcal [[pharyngitis]] is usually self-limited. However, it is more likely to develop complications such as [[peritonsillar abscess]], [[mastoiditis]], and [[acute rheumatic fever]] in untreated cases.<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>
If left untreated, group A streptococcal [[pharyngitis]] may be self-limiting. In some cases, complications such as [[peritonsillar abscess]], [[mastoiditis]], and [[acute rheumatic fever]] may develop in untreated cases.<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>


==Natural history==  
==Natural history==  
If left untreated, group A streptococcal [[pharyngitis]] is usually self-limited. However, it is more likely to develop complications such as [[peritonsillar abscess]], [[mastoiditis]], and [[acute rheumatic fever]] in untreated cases.<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>
If left untreated, group A streptococcal [[pharyngitis]] may be self-limiting. In some cases, complications such as [[peritonsillar abscess]], [[mastoiditis]], and [[acute rheumatic fever]] may develop in untreated cases.<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>


==Complications==
==Complications==

Revision as of 17:41, 19 June 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

If left untreated, group A streptococcal pharyngitis may be self-limiting. In some cases, complications such as peritonsillar abscess, mastoiditis, and acute rheumatic fever may develop in untreated cases.[1][2][3]

Natural history

If left untreated, group A streptococcal pharyngitis may be self-limiting. In some cases, complications such as peritonsillar abscess, mastoiditis, and acute rheumatic fever may develop in untreated cases.[1][2][3]

Complications

Complications that can develop as a result of strep throat may be divided into suppurative and non-suppurative types:[1][3]

Suppurative

Images of vasculitis after Streptococcal throat infection

Streptococcal vasculitis
Streptococcal vasculitis
Streptococcal vasculitis
Streptococcal vasculitis


Non-suppurative

Prognosis

The prognosis of strep throat is good with treatment. Complications rarely develop with adequate treatment.[1]

References

  1. 1.0 1.1 1.2 1.3 http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016
  2. 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. 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.


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