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Doctor insights on: Pharyngitis Ethnicity

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history of sinus infections +dx of UCTD. Recent sinus cultures positive atypical bacteria (Serratia marcescens +Stenotrophomonasmaltophilia - Why?

 history of sinus infections +dx of UCTD. Recent sinus cultures positive atypical bacteria (Serratia marcescens +Stenotrophomonasmaltophilia - Why?

ID physician: S maltophilia is an organism of low virulence and frequently colonizes fluids used in the hospital setting and patient cultures. Serratia species are opportunistic gram-negative bacteria that are widespread in the environment. And something is definitely wrong here...unless your on say prednisone (for MCTD) and didn't mention this. You should see an infectious disease physician ASAP. ...Read more

Dr. Mohammed Parvez
429 doctors shared insights

Pharyngitis (Definition)

It is the inflammation of the pharynx, a structure that extends from the base of your skull to larynx and inlet to esophagus, behind your nose includes your tonsils and tongue base. Causes of inflammation is most often viral or bacterial. It is often ...Read more


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How is strep throat strep throat different from scarlet fever?

How is strep throat strep throat different from scarlet fever?

The germ: Some group A strep germs carry an extra piece of genetic code that triggers a toxin that can cause the rash. If someone has a strep infection in their throat it usually shows up within 12 hrs of the first fever. If the infection is treated very early, it may not show up at all. A strep germ without the extra gene will not trigger the rash. Scarlet fever is an old term used back before penicillin. ...Read more

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Viral pharyngitis and ulcers on tonsils reasons for tonsillectomy?

Viral pharyngitis and ulcers on tonsils reasons for tonsillectomy?

Depend how often: If you have only had one episode then that is no reason to have your tonsils out. Typically this is what i'm thinking about taking out tonsils for infection we use the following: seven infections in one year or four infections a year for two years or three infections a year for three years. Of course if you have airway blockage because your tonsils are so big or chronic discharge that can cause opinions about tonsillectomy to change. ...Read more

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Who is most affected by dengue fever (sex, ethnicity, age, etc)?

Who is most affected by dengue fever (sex, ethnicity, age, etc)?

Location is issue.: Dengue is most common in tropical & sub-tropical areas of Africa, South-east Asia, the Western Pacific, Eastern Mediterranean & the Americas. See: http://www.cdc.gov/dengue/epidemiology/ ...Read more

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Sore throat/slightly blocked nose/headache. Throat culture says: Streptoccus viridans (moderate growth), no pathogenic organisms found. what to do?

Sore throat/slightly blocked nose/headache. Throat culture says: Streptoccus viridans (moderate growth), no pathogenic organisms found. what to do?

Symptomatic Tx: Streptococcus viridans is one of the normal flora organism in the mouth, these symptoms are likely secondary to viral infection and symptomatic over the counter medications may help or see your physician ...Read more

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6 yo w/ seborrheic dermatitis, eczema, CMV igg+, URI july/mid aug, dental treat. In sept. Palpable nodes bilateral up to 1.7cm. Us=reactive. Normal?

6 yo w/ seborrheic dermatitis, eczema, CMV igg+, URI july/mid aug, dental treat. In sept. Palpable nodes bilateral up to 1.7cm. Us=reactive. Normal?

What is normal?: Palpable lymphnodes after an infection are. If they do not resolve need to follow up with your physician. Other symptoms can be due to atopy. Need to have dermatologist and allergist evaluate your child. ...Read more

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Yellow Blisters back of throat >1 year. All tests negative Nil tonsils Throat cultures clean Nil Epstein-Barr Strep Thrush Herpes Etc Help please?

Yellow Blisters back of throat >1 year.
All tests negative
Nil tonsils
Throat cultures clean
Nil Epstein-Barr
Strep
Thrush
Herpes
Etc

Help please?

Allergy related: Probably this is "cobblestoning," which is the finding of streaks of lymphoid tissue on the posterior pharynx (back of the throat). It's caused by chronic allergy type symptoms. A doctor should be able to confirm that with a look in the back of the throat. If your allergies are bad, there are various treatments that may help, such as antihistamines or even immunotherapy. Try an allergist if needed ...Read more

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What is the difference between strep / bacterial tonsillitis and viral tonsillitis?

What is the difference between strep / bacterial tonsillitis and viral tonsillitis?

Different agents: Viral tonsillitis is from a virus such as epstein-barr or adenovirus. Antibiotics don't help. Strep and other bacterial tonsillitis are caused by bacteria against which antibiotics work. Symptoms and throat appearance are very similar. ...Read more

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Lump in throat for 2 weeks, history of GERD. Also have viral illness. How do u tell the diff btwn viral-related lump feeling & GERD-related? Cancer?

Lump in throat for 2 weeks, history of GERD. Also have viral illness. How do u tell the diff btwn viral-related lump feeling & GERD-related?  Cancer?

Globus sensation?: Do you experience the feeling of a ball or lump in the back of your throat that you have to swallow past? If so, this is "globus." Alternatively, you may have laryngo-esophaeal reflux without heartburn. Sometimes, the actual swallowing mechanism may be impaired due to "spasms," dysmotility, or inflammation. A gastroenterologist or ear-nose-throat specialist is a good starting point for evaluation ...Read more

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My throat culture & sensitivity c/s report says "organism: moderate growth streptococcus viridans group" is this normal, i've white coating on tongue?

My throat culture & sensitivity c/s report says "organism: moderate growth streptococcus viridans group" is this normal, i've white coating on tongue?

Possible fungal...: Overgrowth. If you have cultures, you are probably already on an antibiotic for something. S. Viridens is a common oral bacteria that we all have on some level. Yours may be higher than normal but the white on your tongue could be candidiasis from a lack of "regular" bacteria that keep it down. Try 1/2 hydrogen peroxide/ 1/2 or mouthwash, brush your tongue, if no luck see a dr. May need nystatin. ...Read more

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How will a doctor differentiate viral respiratory infection from bacterial infection? Signs are fever cough congestion, no sore throat - 4 days.

How will a doctor differentiate viral respiratory infection from bacterial infection? Signs are fever cough congestion, no sore throat - 4 days.

Usually easy: Normal w/ viral uri's to have a temp up to 72 hrs. If u have sore throat it's very unlikely to be strep when u also have cough/congestion (not always the case with kids). Flu is peaking now (in us) classic symptoms are high temp congestion, body aches, +\-sore throat or cough. If u r feeling unusually ill or measured temp exceeds 3 days u should be seen (sooner if u have chronic health cond. ...Read more

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How are group a & group b strep throat different?

How are group a & group b strep throat different?

Streptococci A & B: Here is a good article that addresses your question: http://www.Drgreene.Com/articles/streptococcus/. ...Read more

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Non viral causes of high monocytes 16%? 4 y/o w/Symptoms: recurring fever, cyanosis, joint pain, no appetite, swollen lymph nodes. FH of JRA & Lupus.

Non viral causes of high monocytes 16%? 4 y/o w/Symptoms: recurring fever, cyanosis, joint pain, no appetite, swollen lymph nodes. FH of JRA & Lupus.

Not the key: As a pathologist and lab specialist, I would discourage you from paying any attention at all to percentages, or to monocytes unless the absolute count is well over 1000. Sounds like a JRA variant if it is clear there is no heart defect or endocarditis ...Read more

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Is strep throat bacterial or viral?

Is strep throat bacterial or viral?

Bacterial: Due to a streptococcus, usually strep group a. Most sore thrats are due to viruses, which should not be treated with antibiotics. A rapid strep test and/or culture can help diagnose strep throat, to determine whether antibiotics are indicated. ...Read more

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Are rheumatic fever, streptococcal pharyngitis, and anaphylactoid reaction related?

Are rheumatic fever, streptococcal pharyngitis, and anaphylactoid reaction related?

Yes,Yes and No: Rheumatic fever is a possible consequence of untreated strep throat. An anaphylactic reaction is a severe allergic response and not related to the other two. ...Read more

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Viral fever medicenes , symptoms and preventions?

Viral fever medicenes , symptoms and preventions?

Antivirals: There are antiviral medications available for some forms of infection. Hepatitis b and c, HIV disease, influenza, herpes simplex and several others. For the average common cold there is nothing but symptomatic relief available. Take Acetaminophen (tylenol), decongestants, etc. There are many otc products and your friendly pharmacist will be happy to guide you to the best. ...Read more

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Is pharyngitis the doctor term of sore throat ? Or is pharyngitis something different ?

Is pharyngitis the doctor term of sore throat ? Or is pharyngitis something different ?

Pharyngitis means: Inflammation of the pharynx, just like appendicitis means inflammation of the appendix or cholecystitis is inflammation of the gallbladder. "sore throat" is pretty general, and even as lay terminology could imply a viral pharyngitis or a strep bacterial pharyngitis. You could even have a mechanical pharyngitis from screaming at a sports event, for example. Hope this helps! ...Read more

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How can you differentiate laryngitis, pharyngitis and tonsillitis based on physical manifestations?

How can you differentiate laryngitis, pharyngitis and tonsillitis based on physical manifestations?

Nice question: "itis-" means inflammation. Laryngitis is inflammation of larynx, hoarseness/voice changes would be major symptom. Pharyngitis is inflammation of throat, pain & difficulty swallowing are symptoms. Tonsillitis is inflammation of tonsils manifesting as sore throat, fever or neck/ear pain. Most common cause for all 3 is viral infection. Strep can cause tonsillitis & pharyngits but not laryngitis. ...Read more