Streptococcal (GAS) Pharyngitis

  1. Could Joey be a chronic pharyngeal carrier? Why or why not?

In streptococcal (GAS) pharyngitis, Chronic pharyngeal carrier is a state in which group A β-hemolytic streptococcus is present in the pharynx for a period without showing signs of infection. There is a possibility that Joey could be a chronic pharyngeal carrier. It is difficult to clear GAS from a carrier’s pharynx hence recurrent episodes. The fact that he has received multiple treatments for GAS pharyngitis shows that he has had recurrent group A streptococcal pharyngitis. According to Shulman et al. patients experiencing recurrent episodes of pharyngitis and laboratory results show group A streptococcal pharyngitis may be chronic pharyngeal carriers with repeated viral infections (2012). Streptococcal pharyngitis is a self-limited infection, and a patient responds to antibiotics within 24-48 hours. The symptoms of streptococcal pharyngitis can resolve days after the onset of the disease without treatment (Shulman et al., 2012). When treated with appropriate antibiotics, carriers do not respond and have positive throat cultures for group A streptococcal pharyngitis……………Read more 

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