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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Got strep throat, fever and joint pain. Taking althrocin and ominicortil. Suggest effective medicine

Answered by
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 15926 Questions

Posted on Mon, 11 Feb 2013 in Infections
Question: I am 40. I got strep throat. not treated properly. Next I got fever with severe joint pains. I got ASO positive blood report. What is my problem? I used Althrocin 500 mg (erithromycin) for 20 days twice a day and Ominicortil for 30 days twice a day and Paracetamal for fever for 30 day. I became alright and for 3 months I am alright. Now again the same infection relapsed. What happened to me. Suggest a suitable medicine.
Answered by Dr. Michelle Gibson James 48 minutes later
Hi, thanks for using healthcare magic

Strep throat infections are common. A study showed that persons who delayed the use of antibiotics by 48hrs were less likely to have a recurrent event.

Normally they are treated with antibiotics in the penicillin family, erythromycin is used for persons who are allergic to penicillin which may be the reason for use for you.

If recurrences occur, a swab should be taken to determine whether there is any issue of resistance to the typical medication.
Some persons may become carriers of the bacteria, it is found in their throat but they do not have any symptoms.

In case of recurrences, antibiotics in the cephalosporin family are used. There are alot of antibiotics in this family and your doctor will choose one that is available at the local pharmacy.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Michelle Gibson James 44 minutes later
After 3 months time I got the same type of throat infection again. I used althrocin for 10 day twice a day. I got cured of throat infection. after 3 week now I got all joint pains like before. Now I met another doctor and he prescribed penicillin injections 1 per week for 3 weeks. and after that 1 per month for continuously 5 years. I have already taken one injection today. Is this correct treatment.
What other precautions are necessary.
One more question please.
Of recently whenever I take head bath I catch a cold. and after that this above problem occurs to me.
Can this be a Rheumatic fever? Can this be true if I get this fever at this age?
What is this problem called? Is this a disease? What is its name?

Thank You in anticipation of an early reply.
Answered by Dr. Michelle Gibson James 7 hours later

To diagnose rheumatic fever, certain criteria must be met.
The criteria are divided into major and minor ones and a person can either have 2 major ones or one major and 2 minor for a diagnosis to be made.
The major criteria are inflammation of several large joints, inflammation of the heart which would be detected if the doctor hears abnormal sounds, nodules over bones or tendons, a specific rash and movements called sydenham's chorea.
The minor criteria are fever, joint pain without swelling, elevated white cell count, elevation of certain markers in the blood that assess inflammation (ESR), ECg showing certain changes, previous episode of rheumatic fever.

BASED on the fact that your doctor started you on penicillin for a 5 yr period, it indicates that he or she does believe that you had an episode of rheumatic fever. In patients who have a history of rheumatic fever without inflammation of the heart, the penicillin is given for 5 yrs.
The use of the penicillin is to reduce the chances of further episodes and hence the chances of any problems with the heart.

In terms of the head bath, the use of cold water can result in drainage of the sinuses and cause symptoms such as sore throat due to the sinus problems that result from the cold exposure.
It would cause the strep throat because this requires transmission of the bacteria from one person to the next

Feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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