Case 1

A seven year-old child, whose immunizations were up-to-date, was brought to the physician's office in February. because of fever, headache, malaise, sore throat and rash. Fever and sore throat began two days earlier. The rash began on the day of clinic visit. On examination she appeared alert but apprehensive. Significant finds included a diffuse red rash that blanched on pressure. The face appeared flushed except for marked circumoral pallor. The tongue is red and the papillae are enlarged. The pharynx appeared red and a thick exudate covered the posterior pharynx and the tonsillar area. The anterior cervical nodes are enlarged and tender. Throat culture was obtained.

Questions

2. List the causative agents of exudative pharyngitis. Which of these agents may cause rash?  Answer

3. How are the agents transmitted?   Answer

5. How is the specific diagnosis established?   Answer

6. What antimicrobial agents are effective against streptococcus pyogenes, and how is streptococcal pharyngitis treated?   Answer

7. Are there any long-term consequences of streptococcal pharyngitis?   Answer

8. Are late complications preventable?   Answer