USMLE Forum Archives - USMLE Step 2 CK - Streptoccoci /pediatrics
Streptoccoci /pediatrics
mohhaider - 10-27-08 05:23
A nine year old boy complains of sore throat he has had for 2 days.In addition, he has had fever, headache, and abdominal pain. He does not have any allergies to drugs. O/E he has a temperature of 38.6 C, an erythematous pharynx and tender cervical adenopathy. A rapid screening test for group A streptococcus is performed and is positive. Which of the following would be the most appropriate antimicrobial agent ?
a-Erythromycin
b-penicillin
c-cefaclor
d-trimethoprim -sulfamethaxazole
e-azithromycin .
mohhaider - 10-27-08 05:23
A nine year old boy complains of sore throat he has had for 2 days.In addition, he has had fever, headache, and abdominal pain. He does not have any allergies to drugs. O/E he has a temperature of 38.6 C, an erythematous pharynx and tender cervical adenopathy. A rapid screening test for group A streptococcus is performed and is positive. Which of the following would be the most appropriate antimicrobial agent ?
a-Erythromycin
b-penicillin
c-cefaclor
d-trimethoprim -sulfamethaxazole
e-azithromycin .
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#2
Re: Streptoccoci /pediatrics bingousmle - 10-27-08 08:46 many strains are still sensitive to penicillin, so yes penicillin
in events of allergic reaction to penicillin,erythromycin
#3
Re: Streptoccoci /pediatrics
mohhaider - 10-27-08 09:14 Correct ,it's penicillin .
Penicillin remain the drug of choice for treatment of streptococcal pharyngitis. Amoxicilin ,
macrolides and cephalosporins are acceptable alternatives .
#5
Re: Streptoccoci /pediatrics babbu5508 - 06-23-10 04:41 b-penicillin should be given prophylactically to every patient of streptococcal sore throat inorder to prevent rheumatic heart disease.
#6
Re: Streptoccoci /pediatrics bingousmle - 06-30-10 17:33 rheumatic heart disease develops as an immunological reaction to the cardiac glycoproteins which resemble the M proteins of streptococci.. i doubt whether the treatment will subsequently affect the chances of RHD
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