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Strep Throat: Child
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Strep throat is caused by the bacteria called Group A beta hemolytic streptococci. All children may get strep throat although babies are felt to be at a very low risk. Typically, but certainly not always, the child gets a fever and sore throat with large tonsils that typically have pus on them. Some children will only have symptoms consisting of headache or stomach ache. Some children develop a rash about the body which is red and has fine bumps. The skin appears sunburned and may look like sandpaper.
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Strep throat is caused by the Streptococcus pyogenes bacteria... called group A beta-hemolytic streptococci (GABHS). This infection is most common in children over three years of age and begins with a fever, a red, swollen throat, and tonsils that can have a white coating of pus. Other symptoms often include swollen glands, decreased appetite and a decreased energy level.
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If your child's throat is sore and he or she has other strep throat symptoms, it's a good idea to call your child's doctor. The doctor will likely do a rapid strep test in the office, using a cotton swab to take a sample of the fluids at the back of your child's throat. The test only takes about 5 minutes. If it's positive, your child has strep throat. If the test is negative, the doctor will send a sample to a lab for a throat culture. The results are usually available within a few days.
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A person with strep throat suddenly develops a painful sore throat one to five days after being exposed to the streptococcus bacteria. Unfortunately, it'simpossible to tell the difference between a sore throat caused by strep or by other bacteria or viruses. The infected person usually feels tired and hasa fever, sometimes accompanied by chills, headache, muscle aches, swollen lymph glands, and nausea. Young children may complain of abdominal pain. The tonsils look swollen and are bright red, with white or yellow patches of pus onthem. Sometimes the roof of the mouth is red or has small red spots.
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Symptoms of strep throat infections may include severe sore throat, fever, headache, and swollen glands. If not treated, strep infections can lead to scarlet fever, rheumatic fever, skin, bloodstream, ear infections, and pneumonia. Scarlet fever is characterized by a bright red, rough textured rash that spreads all over the child's body. Rheumatic fever is a serious disease that can damage the heart valves.
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"Children who have strep throat will have a superior outcome if they receive cephalosporin rather than penicillin," says Dr. Janet Casey, the study's lead author and a University of Rochester Medical Center pediatrician. Casey says the findings indicate that the newer class of drugs has a more impressive bacterial cure rate.
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