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I have read every post I could find on
strep here. History: Oct 2001, then 6 yr old had tonsils/adenoid
removed after persistent strep. Positive rapid streps. (then 3 yr old
was being infected also, but was not in school/daycare,etc.), much
improved despite known repeated exposure. Oct 2002-present(Jan 2003),
both children have had repeated positive rapid streps pretty much every
other week and every "normal" antibiotic has been tried, the strongest
being Augmentin 600 which had some success in clearing the infection
temporarily. In Dec, now 4 yr old had tonsillectomy/adenoidectomy.
Throat culture was negative right before surgery while on Augmentin
600. Now 7 yr old woke up same night of 4 yr old's surgery with
vomiting and strep symptoms again. 4 yr old came down with red spots
after about a week of vague symptoms. I have been keeping a journal the
last several days during the most recent round of antibiotics. The
physical symptoms appear to start with enlarged blood vessels in the
back of the throat, sometimes the tiny red spots on soft palate, then
progresses to tiny clear blisters/fire engine red throat. The blisters
start on the very back of throat and then usually next day move to the
soft palate. The whole process seems to work from the back of the
throat to the front. Sometimes white patches are in back of
throat/sides of arch. This has all been accompanied by many of the
usual symptoms of strep, headache, stomachache, rash, etc. This latest
round, they were both strong positives on the rapid strep, started on
Zithromax. Had no effect on 7 yo, while 4 yo seemed to improve for 3
days then skin rash reappeared and was more severe. Pediatrician
switched them to Augmentin 600. Again has had no effect on 7 yo, and 4
yo was much improved by the 6th day at which time the only evidence was
a small area of the tiny red spots on left of soft palate. The next
day, day 7, the back of the throat started all over again and she is on
a downward spiral once again. 7 yo is still suffering. My husband and I
apparently contracted it as our throats look exactly the same, but our
DO put him on Biaxin (this will probably be resistant to that) and not
me (mine took a little longer to look bad). I have an appt with another
dr tomorrow. The pediatrician referred us to an immunologist (they both
have allergies, the younger one has already been evaluated) at the end
of the month. Also, the pediatrican feels that the strep infection
could be in the 7 yo's sinuses and has twice now taken her off her
allergy medicine to allow the infection to drain while on an
antibiotic. She has also had the associated sinus discomfort, headache,
ear pain, etc. Meanwhile, all this is definitely interfering with the 7
yo's functioning at school and just in life in general. The child has
become borderline irrational. They are on a chewable vitamin with extra
C. I am desperately seeking answers. Can anyone help?
In Reply to: Help!3 mos recurrent/resistant strep in 4 and 7 yr olds with no tonsils/adenoids posted by Lisa on January 07, 2003 at 23:28:20:
Hi, Lisa.
In MY opinion, the child's "downward spiral" is due to all the antibiotics he has had. Probiotics and a PWFD (perfect whole foods diet) would make a wolrd of difference in this child in just a month--with more benefits to follow.
It is possible that all this treatment has complidated the issue by precipitating C-RS (candida-related syndrome) but that may have to be faced in a month depending on how he is doing.
See the glossary and then the archives for any unfamiliar terms.
Walt
In Reply to: Help!3 mos recurrent/resistant strep in 4 and 7 yr olds with no tonsils/adenoids posted by Lisa on January 07, 2003 at 23:28:20:
But what should this mother have done for the strep throats if giving him antibiotics was harmful? What would have worked in their place?
In Reply to: Dr Stoll Re: Help!3 mos recurrent/resistant strep in 4 and 7 posted by John on January 12, 2003 at 22:11:22:
Hi, John.
For the viral pharyngitides, they would have gone away in a week or so with no treatment and would have gone away in 7-10 days with the most expensive antibiotics.
The only bacterial pharyngitis worth treating is streptococcus group B, which is associated with rheumatic fever. Interestingly enough, much research tells us that even this treasured conventional belief does not work: Treating strep group B does not prevent any more rheumatic fever than not treating it.
Therefore, the answer to your question is nothing but symptomatic treatment. To prevent recurrance, a WFD is probably the best thing.
Have you seen the strep throat archives?
Walt
In Reply to: Re: Help!3 mos recurrent/resistant strep in 4 and 7 yr olds with no tonsils/adenoids posted by Walt Stoll on January 08, 2003 at 09:51:06:
After both tested positive AGAIN on the rapid strep and we finished ANOTHER round of Augmentin 600, the 4 yo cleared up quickly but no change in the 7 yo one. On day 6 of the antibiotic, the 4 yo started getting red throat and blisters again. I called the pediatrician and he wanted to send out more antibiotics until we see the immunologist (his idea). He called them in but I decided to wait and see because I felt there was just no way! The 4 yo had a followup visit with the ENT and I asked him to do a throat culture for anything and everything (the pediatrician was getting such strong positives on the rapid streps I guess he didn't feel the cultures were necessary.) It came back completely normal. So, I waited some more and once they went back to school the improved steadily and by the end of the week were feeling great! In the end, I believe the younger one MAY have had strep (not convinced), the antibiotic did seem to clear her up, but I believe they probably both had a viral thing on top of it. I had the same thing, exhaustion was a huge part of it, and it took weeks to run it's course--suddenly one day I felt like a new person again. I think they are getting false positives on these rapids or it's picking up the antigen or something. I will insist on a culture from now on. And I'm doing lots of research on nutrition!
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