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 |
Tuesday, November 8, 2016
Streptococcus pyogenes
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