A female asked:
Disclaimer

had a throat infection. 4 months later still hav large tonsils no pain. swabbed it myself as dr dismissed me! found group a strep. is treatment needed?

2 doctor answers
Dr. Steven Warren
9 years experience Family Medicine
Not necessarily: Group A strep is a common bacteria in your system and can grow on culture but usually does not cause infections unless immune system is very low Tonsils because of infections can stay big for a long time but can be free of infection If you have a hard time swallowing or other problems with your throat go to an ENT provider for an evaluation I would not treat a group A strep unless additional sy
Answered on Mar 13, 2020
Dr. David Lipkin
52 years experience Internal Medicine
No: Antibiotics are given to prevent Rheumatic Heart Disease(RHD), NOT to cure the sore throat. At best they may reduce the duration of symptoms by 16 hours. The incidence of Rheumatic Fever(RF) in the U.S. is one in a million cases of strep throat. Only one out of three patients with RF develop RHD. For every three million antibiotic Rx's only one case of RHD is prevented. **See my comments below:
Answered on Oct 9, 2015
2
2 comments
Dr. David Lipkin
52 years experience Internal Medicine
Provided original answer
The axiom that strep throat IN THE U.S. requires antibiotics came from a single decade long study at Andrews Air Force Base, WY in the 1940's-50's when there was a very unusual epidemic of RF with an incidence ONE THOUSAND TIMES normal. In that study those patients given a placebo: 2% of patients developed RF For those given penicillin 1% developed RF. 1 case of RHD is prevented per 3,000,000 RX
Oct 9, 2015
Dr. David Lipkin
52 years experience Internal Medicine
Provided original answer
10 million prescriptions for antibiotics are written every year for strep throat. For for every one million prescriptions of antibotics written for strep throat there are twenty four hundred potentially fatal allergic reactions as well as one hundred thousand cases of diarrhea and one hundred thousand rashes. ** http://amzn.to/1jhyueV Hippocrates Shadow, David Newman,MD
Oct 9, 2015

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