Group A Streptococcus (GAS): Signs and Symptoms
Über den Vortrag
Der Vortrag „Group A Streptococcus (GAS): Signs and Symptoms“ von John Fisher, MD ist Bestandteil des Kurses „Year 4 – Selective Sub-Internship“. Der Vortrag ist dabei in folgende Kapitel unterteilt:
- Signs/Symptoms – Group A Streptococcus (GAS)
- Signs/Symptoms – Non-Group A Streptococcus
- Atypical Bacteria
Quiz zum Vortrag
A 1-year-old boy is brought to the pediatrician because of fever, refusal to eat, and rash. The child is alert. His temperature is 38.4 °C (101.1 °F). Several small macules, vesicles and oral ulcers are found on the tongue and buccal mucosa. Skin examination shows maculopapular and vesicular lesions on the hands and feet. Which pathogen is the most common cause of this syndrome?
- Coxsackie A16
- Herpes simplex virus I
- Enterovirus 61
- Echovirus
- Adenovirus
A 13-year-old boy presents with a rash for 24 hours. He has had sore throat and fatigue for one week. He has been taking amoxicillin for 3 days. On physical examination, the rash is maculopapular and covers the entire body. Cervical lymphadenopathy and splenomegaly are palpated. Which of the following is the most appropriate next step in management?
- Advising against contact sports for the time being
- Documenting hypersensitivity to beta-lactam antibiotics for future prescriptions
- Prescribing a macrolide
- Desensitizing the patient to amoxicillin
- Referring the patient for hospitalization
A 1-year-old boy is brought to the pediatrician because of fever, refusal to eat, and rash. The child is alert. His temperature is 38.4 °C (101.1 °F). Several small macules, vesicles and oral ulcers are found on the tongue and buccal mucosa. Skin examination shows maculopapular and vesicular lesions on the hands and feet. Which of the following is the most appropriate next step in diagnosis?
- No further tests required at this time
- Complete blood count
- Serum electrolytes
- Polymerase chain reaction of respiratory tract secretions
- Culture of vesicular fluid
Which of the following is a rare but dreaded complication of Fusobacterium necrophorum pharyngitis?
- Jugular venous thrombophlebitis
- Pulmonary embolism
- Acute renal failure
- Seizures
- Suppurrative lymphadenitis
A child presents with systemic toxicity. Pharyngeal examination shows a gray membrane that is tightly adherent to the underlying tissue. Dislodgement of the membrane results in bleeding. This is a typical presentation of which of the following pathogens?
- Corynebacterium diptheriae
- Neisseria gonorrhoeae
- Coxsackie A16
- Fusobacterium necrophorum
- Mycoplasma pneumoniae
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Dozent des Vortrages Group A Streptococcus (GAS): Signs and Symptoms
John Fisher, MD
Dr. John F. Fisher is a Professor of Medicine and Infectious Diseases at the Medical College of Georgia, Augusta University in the USA.
He obtained his medical degree from Virginia Commonwealth University School of Medicine in 1969. He is a Master of the American College of Physicians (MACP) and is certified by the American Board of Internal Medicine in Medicine and Infectious Diseases.
Due to his achievements, he has earned the Annual J. Willis Hurst Teaching Award, the Jane F. Deforges Excellence in Medical Education Award, and the Infectious Diseases Society of America's Clinical Teacher Award.
Within Lecturio, Dr. Fisher teaches courses on Infectious Diseases.
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What an excellent lecture! I have not seen a comparison of pharyngitis causes shown next to each other so clearly until now. Having the images of throat presentations displayed on the same slide as the narrative goes on was very helpful. Thank you!
