Worldwide, 33.4 million people had rheumatic heart disease in 2015, and at least 319,400 died from it, according to estimates published last year — a public health disaster caused by a preventable disease that has been largely wiped out in the United States and Western Europe.
But strep throat can almost always be distinguished from a viral sore throat on clinical grounds alone.
The patient is usually younger than 50, and the sore throat comes on like gangbusters within hours or overnight, making swallowing so difficult that drooling can occur.
A sore throat is one of the most common precursors indicating that sickness is imminent. A sore throat can be caused by many things–from the virus responsible for such ailments as the common cold and mononucleosis to certain bacteria such as those responsible for streptococcus. However, there are other contaminants that may result in a sore throat that are unrelated to illness, such as smoking and various allergies.
“Soreness” is a good thing, despite your throat being red and inflamed. This redness and inflammation comes from blood vessels dilating – letting more blood flow into the infected tissues which, in turn, brings more white blood cells in to fight the infective agent. The presence of the white blood cells causes a doubling of efforts in the tissue, further increasing the redness and temperature of the tissue.
This is all part of the body’s mechanism to destroy viruses, as viruses struggle to replicate and are destroyed at these increased temperatures
The National Institute for Health and Care Excellence said most sore throats were caused by viral infections, which cannot be treated by antibiotics.
But research suggests antibiotics are prescribed in 60% of sore throat cases.
Fusobacterium necrophorum, a newly recognized bacterial cause of pharyngitis, can result in a potentially devastating suppurative complication called Lemierre syndrome, which usually begins with a sore throat that improves over the first four to five days.
Can a person really re-catch a cold from a toothbrush? No, unless it’s someone else’s toothbrush (or someone else’s cold).
Oral sex can transmit Neisseria gonorrhoeae from someone's privates to your throat and vice versa. And up to 90% of people with oral gonorrhea have no or minimal symptoms. Yes, many people do not even realize that they have oral gonorrhea.
Sore throats are common in kids. However, it can be difficult to sort out when your child has a sore throat that will get better on its own, or one caused by a more serious infection.
Here's some information on common infections that may include a sore throat.
I think I'm coming down with something.
Usually that means I prepare a mug of tea, add a spoonful of honey kept solely for such occasions, and add a dash of lemon juice. This elixir, I've been told, will soothe my sore throat and coax my raspy voice back to normalcy. But does it actually work?
With all that winter has to offer, there are a few drawbacks — cold and flu season being one of them. So if you're plagued by a raw, sore throat that makes eating and drinking a pain, try one of these common foods and drinks to help ease the discomfort.
Podcast from EM:RAP... a world-class faculty from around the globe, presenting a range of EM topics in a tightly edited audio format.
Rick and Matt tackle the surprisingly complex topic of pharyngitis and take a deep dive on the microbiology and considerations of antibiotic treatment
Research has shown that it is difficult to confidently tell strep throat from more common viral infections.
The presence of a runny nose may be a pointer to a viral infection.A higher fever and predominantly sore throat might make strep infection more likely.
Throat swabs can help in diagnosis, although does not 100% confirm that the sore throat is being caused by the strep infection,as a proportion of healthy people(10 to 15 percent) may carry strep in their throats.
An antibody tests on the blood ,showing a rise over 2 weeks can confirm strep infection,but this is not practical in the management of most strep sore throats.
Most sore throats are not serious and pass within three to seven days without the need for medical treatment. Over-the-counter painkillers, such as paracetamol or ibuprofen, can usually relieve the symptoms of a sore throat without the need to see a GP.
About 50% to 80% of pharyngitis, or sore throat, symptoms are viral in origin and include a variety of viral pathogens. These pathogens are predominantly rhinovirus, influenza, adenovirus, coronavirus, and parainfluenza.
Is it strep or not? — A combination of symptoms (fever, enlarged glands in the neck, white patches on your tonsils, and no cough) can help in determining if you have strep. If you have two or more symptoms, a rapid test or throat culture may be done. People with fewer than two symptoms usually do not need testing or treatment for strep throat, though they may benefit from treatment with modalities for symptom reduction.