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39 Years Old Male. Diagnosed With Strep Throat 2 Weeks

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Posted on Fri, 12 Apr 2019
Question: 39 years old male.
Diagnosed with strep throat 2 weeks after onset. I'm concerned about the possible complications.
Details on current disease:
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Started as mild sore throat with sinusitis, with congestion and lost smell& taste. It Progressed to a very severe throat pain, and very bad feeling (didn't get out of bed for 3 days). It then got better (5 days ago), but lingered on. 2-3 days ago developed impetigo (small, on nose). Now finally diagnosed with strep.
Already feeling better after 3 doses of Zinnat.
Additional details (don't know if important or not):
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1. no fever. I almost never get fever. this time was XXXXXXX 37.5 (measured at the peak of the illness) which *comparing to my 'usual' when sick* is high. Might be genetic - my daughter also did not get fever with strep (several times).
2. Blood count appeared normal - including white cell blood count.
4. Possible reactive arthitis incident in the past after a virus.
5. IBS diagnosis in the past (didn't bother me for many years now)
6. suffering from seborrhea dermatits around nose, check and one ear.
7. I currently suffering from high LDL, and low Fe
8. I was diagnosed with Non Alcoholic Fatty liver.

Questions
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1. Is there something in disease course or details that make rheumatic fever more or less likely to appear?
2. Is there anything I can do now in order to decrease the likelihood of rheumatic fever and other complications? (IDK, take steroids to suppress immune response? anything?)
3. Is there anything I should pay attention to so I can 'catch it early' if it happens, or does it happen hard and suddenly?

Thanks!
doctor
Answered by Dr. Anders Mark Christensen (21 hours later)
Brief Answer:
Rheumatic fever highly unlikely

Detailed Answer:
Hi Ophirspam,

Thank you for the detailed history. Rheumatic fever in the Western world is extremely unlikely, especially since you have received antibiotics and feel better. If you experience joint swelling or chest pains weeks after your sore throat started, you should see your doctor. Nothing in particular you can do to prevent rheumatic fever, but again, it is extremely rare in the industrialized world.

Hope this helps. Please let me know if you have further questions.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1563 Questions

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39 Years Old Male. Diagnosed With Strep Throat 2 Weeks

Brief Answer: Rheumatic fever highly unlikely Detailed Answer: Hi Ophirspam, Thank you for the detailed history. Rheumatic fever in the Western world is extremely unlikely, especially since you have received antibiotics and feel better. If you experience joint swelling or chest pains weeks after your sore throat started, you should see your doctor. Nothing in particular you can do to prevent rheumatic fever, but again, it is extremely rare in the industrialized world. Hope this helps. Please let me know if you have further questions.