+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Severe acute pharyngitis caused by group C streptococcus



Severe acute pharyngitis caused by group C streptococcus



Journal of General Internal Medicine 22(2): 272-274



Adult group C beta-hemolytic streptococcal pharyngitis has a prevalence of approximately 5%. It can present with a broad spectrum of severity. We report a 30-year-old woman who presented with severe Group C streptococcal pharyngitis. She presented with a 9-day history of progressive symptoms, including fever, sore throat, neck swelling, and recent onset of hoarseness. In the 9 days before the emergency room (ER) presentation, the patient had visited the ER twice complaining of a sore throat. At both visits, the physicians performed rapid antigen strep testing. Each time her test was negative and the physicians recommended symptomatic therapy. Her symptoms continued to worsen leading to her repeat presentation. At this time she had severe pharyngitis with markedly enlarged tonsils. Neck CT excluded peritonsillar abscess. Rapid strep testing was again negative, but her throat culture grew group C beta-hemolytic streptococcus. This presentation illustrates the importance of a systematic approach to evaluating patients with negative rapid strep tests and worsening pharyngitis.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 013014760

Download citation: RISBibTeXText

PMID: 17356999

DOI: 10.1007/s11606-006-0049-4


Related references

Acute Rheumatic Fever After Group A Streptococcus Pyoderma and Group G Streptococcus Pharyngitis. Pediatric Infectious Disease Journal 36(7): 692-694, 2017

A case of pharyngitis caused by penicillin resistant group C streptococcus. Journal of Infection 34(1): 88-89, 1997

An outbreak of pharyngitis caused by food-borne group A Streptococcus. Japanese Journal of Infectious Diseases 52(3): 127-128, 1999

The effect of erythromycin on resolution of symptoms among adults with pharyngitis not caused by group A streptococcus. Jgim 12(2): 95-101, 1997

Validation of a rapid antigenic test in the diagnosis of pharyngitis caused by group a beta-haemolytic Streptococcus. Atencion Primaria 40(10): 489-494, 2008

Preliminary pediatric clinical evaluation of the oral probiotic Streptococcus salivarius K12 in preventing recurrent pharyngitis and/or tonsillitis caused by Streptococcus pyogenes and recurrent acute otitis media. International Journal of General Medicine 5: 991-997, 2012

A non-human primate model of acute group a Streptococcus pharyngitis. Methods in Molecular Biology 431: 255-267, 2008

Early detection of group a streptococcus in acute pharyngitis with phadebact. Abstracts of the Annual Meeting of the American Society for Microbiology 84: ABSTRACT C110, 1984

Severe invasive group A beta-hemolytic streptococcus infection complicating pharyngitis: a case report and discussion. Journal of the Oklahoma State Medical Association 93(1): 25-28, 2000

Group A Streptococcus gene expression in humans and cynomolgus macaques with acute pharyngitis. Infection and Immunity 71(4): 2199-2207, 2003

Association between C-reactive protein rapid test and group A streptococcus infection in acute pharyngitis. Journal of the American Board of Family Medicine 27(3): 424-426, 2015

A probable food-borne outbreak of pharyngitis after a massive rainstorm in Beijing, caused by emm89 group A Streptococcus rarely found in China. International Journal of Infectious Diseases 17(6): E471, 2013

Experience with throat culture and sequential antibody titers: monitoring of antibodies to exoenzymes of group A Streptococcus in the diagnosis and treatment of acute pharyngitis. Nebraska Medical Journal 59(12): 476-480, 1974

Clinical evaluation of the oral probiotic Streptococcus salivarius K12 in the prevention of recurrent pharyngitis and/or tonsillitis caused by Streptococcus pyogenes in adults. Expert Opinion on Biological Therapy 13(3): 339-343, 2013

Effect of Oral Probiotic Streptococcus salivarius K12 on Group A Streptococcus Pharyngitis: A Pragmatic Trial in Schools. Pediatric Infectious Disease Journal 37(7): 619-623, 2017