: 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 Is this classic advice taught to me in the 1970s out of date?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.
When a child’s throat feels raw, scratchy, or downright painful, you want to get him some relief. Strep throat, caused by bacteria, is one type of sore throat that can be treated. Kids get it more often, but adults can be infected, too. It isn't handled in the same way as sore throats caused by colds and other viruses. So your doctor will likely do what’s called a “rapid strep test” to be sure it's strep. If the test is positive (meaning you or your child has it), medication can relieve the sore throat and other symptoms. Doctors most often prescribe penicillin or amoxicillin (Amoxil) to treat strep throat. Strep throat is most common in children between ages 5 and 15, although anyone can get it. Strep throat is spread by person-to-person contact with fluids from the nose or saliva. The same germ that causes strep throat may also cause symptoms of a sinus infection or an ear infection. It commonly spreads among family or household members. Many other causes of sore throat may have the same symptoms. Some strains of strep throat can lead to a scarlet fever-like rash. Your health care provider must do a test to diagnose strep throat and decide whether to prescribe antibiotics. A rapid strep test can be done in most provider offices. However, the test may be negative, even if strep is present. If the rapid strep test is negative and your provider still suspects that the strep bacteria is causing the sore throat, a throat swab can be tested (cultured) to see if strep grows from it. Most sore throats are caused by viruses, not bacteria.
Jul 1, 1993. Penicillin is still the standard therapy for streptococcal pharyngitis, but the multiple dosing required may limit compliance. Amoxicillin has a. Dec 19, 2005. Doctors have presented more evidence that it's time for long-time antibiotic stalwarts like penicillin and amoxicillin to step aside when it comes.