Hyaluronic Acid |
|
Group A
Strep |
|
Human
antigen capsule |
|
Beta
hemolytic |
|
Impetigo
(also Staph aureus possible) |
|
Honey-crusted infection |
Pharyngitis |
|
|
Eresypela
(very superficial cellulitis with firm demarcations) and Cellulitis |
SPE=
Streptococcal Pyrogenic Exotoxin |
|
A&C: Scarlet Fever |
|
|
Pharyngitis |
|
|
Strawberry tongue |
|
|
Widespread rash that spares the face |
|
A&C: Toxic-Shock-Like Syndrome
from Super-Antigen |
|
SPE B: Necrotizing fasciitis |
|
|
Amputations |
Rheumatic
Fever |
|
|
Precipitated by only pharyngitis |
|
M Protein |
|
|
|
Antiphagocytic |
|
|
Highly Antigenic |
|
Mitral valve damaged: Mitral
stenosis |
|
QT elongation |
|
JONES Criteria: Need 3 out of 5 to
Dx RhFev. |
|
|
Arthritic joints: Polyarthritis |
|
|
Endocarditis |
|
|
Subcutaneous Nodules |
|
|
Erythema marginatum |
|
|
Sydenham's Chorea |
PSGN: Post
Strep Glomerulonephritis |
|
Facial puffiness |
|
Cola-colored urine |
|
2 wks after Strep throat or Impetigo |
Rx:
Penicillin |
|
Streptolysin
O: allows S. pyogenes to lyse RBCs |
Streptokinase
converts plasminogen to plasmin: thrombolytic |
DNAase |
|
|
Bacitracin
sensitive |
|
Dx:
AntiStreptolysin ASO titer to tell how long after initial infection |
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