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Polyarthritis following a streptococcal infection, a doctor's dilemma in treatment: a case report
1Department of Medicine, Lenox Hill Hospital, 100 E 77th Street, New York, NY, 10075, USA.
Introduction:
Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis in adults can present in a similar manner.
Case Presentation:
A 25 year old Caucasian male developed a transient crippling polyarthritis one month following treatment of a sore throat. The patient was found to meet criteria for both Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis, leading to the question of the role of antibiotic prophylaxis long term.
Conclusion:
Due to overlap in the diagnostic criteria for Acute Rheumatic Fever and Post Streptococcal Reactive Arthritis in adults, the need for penicillin prophylaxis should be individualized based on exposure risk.
Related Concept Videos
Streptococcal Pharyngitis
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Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.