-
American Family Physician Jan 2023
Topics: Humans; Pharynx; Pharyngitis; Tonsillitis; Streptococcal Infections; Streptococcus pyogenes
PubMed: 36689968
DOI: No ID Found -
American Journal of Otolaryngology 2021PFAPA syndrome is derived from the initials of the English words of the findings that make up the syndrome ("Periodic Fever", "Aphthous Stomatitis", "Pharyngitis",...
OBJECTIVE
PFAPA syndrome is derived from the initials of the English words of the findings that make up the syndrome ("Periodic Fever", "Aphthous Stomatitis", "Pharyngitis", "Adenitis"). This study aims to evaluate the vestibular system in patients with PFAPA syndrome by the cVEMP test and to give a general review of PFAPA syndrome in light of current literature.
METHODS
In this prospective study, 30 patients aged 4-6 who were diagnosed with PFAPA in a tertiary pediatrics clinic, between January 2016 and February 2020 and 30 children of the same age group who applied to a tertiary otorhinolaryngology clinic for other reasons and proven to have no hearing or vestibular problems were included and in addition to routine physical examination, electromyographic activity of the sternocleidomastoid muscle surface was measured.
RESULTS
We found that the amplitude difference between cVEMP p1-n1 in patients with PFAPA syndrome in both ears decreased compared to the healthy control group.
CONCLUSION
Our study proves there is a vestibular system involvement of PFAPA syndrome. This study is the first in the literature to search the relationship between PFAPA and the vestibular system.
Topics: Age Factors; Child; Child, Preschool; Electromyography; Female; Fever; Humans; Lymphadenitis; Male; Periodicity; Pharyngitis; Prospective Studies; Stomatitis, Aphthous; Syndrome; Vestibular Diseases; Vestibular Function Tests; Vestibule, Labyrinth
PubMed: 33485050
DOI: 10.1016/j.amjoto.2021.102903 -
Revista Peruana de Medicina... 2020COVID-19 is rarely reported in children and they are mildly affected in most cases. The most common clinical presentation of COVID-19 is cough, fever and sore throat;... (Review)
Review
COVID-19 is rarely reported in children and they are mildly affected in most cases. The most common clinical presentation of COVID-19 is cough, fever and sore throat; severe cases show tachypnea. The course of the disease is from one to two weeks. Laboratory findings are nonspecific; lymphopenia, elevation of C-reactive protein and procalcitonin have been described. Early chest X-ray is usually normal, and the most common tomographic findings are consolidations with halo, ground-glass opacities and tiny nodules which mainly affects subpleural areas. Management of the disease is supportive; in severe cases, it should be focused on respiratory support. It is recommended to limit the handling of respiratory secretions and to follow the same preventive measures provided to adults.
Topics: Age Factors; COVID-19; Child; Coronavirus Infections; Cough; Fever; Humans; Pandemics; Pharyngitis; Pneumonia, Viral; Severity of Illness Index; Tomography, X-Ray Computed
PubMed: 32876226
DOI: 10.17843/rpmesp.2020.372.5439 -
Laryngo- Rhino- Otologie Sep 2022
Topics: Humans; Nasopharyngitis; Pharyngitis
PubMed: 36041445
DOI: 10.1055/a-1851-3805 -
MMW Fortschritte Der Medizin Jan 2023
Topics: Humans; COVID-19; Cough; Pharyngitis; Rhinorrhea
PubMed: 36648683
DOI: 10.1007/s15006-023-2272-x -
Clinical Biochemistry Jul 2023Over-the-counter (OTC) and direct-to-consumer (DTC) tests have been gaining popularity due to their potential to provide accurate and quick diagnostic results without... (Review)
Review
Over-the-counter (OTC) and direct-to-consumer (DTC) tests have been gaining popularity due to their potential to provide accurate and quick diagnostic results without any test order from healthcare professionals, while providing patients the opportunity to actively engage in their own health management. Group A streptococcus is a common transmissible pathogen that leads to acute pharyngitis. Accurate and timely diagnosis of Group A streptococcus pharyngitis is critical to urge patients to seek professional healthcare, to support antibiotic stewardship, to reduce disease transmission, and to prevent rare but potentially life-threatening complications such as acute rheumatic fever, rheumatic heart disease, and poststreptococcal glomerulonephritis. This review provides an overview for OTC and DTC testing in general, discusses the clinical utilization of Group A streptococcus testing, analyzes the limitations and challenges of current Group A streptococcus testing methodologies if developed into OTC or DTC tests. Finally, this review provides an outlook for future developments that would further improve healthcare outcomes.
Topics: Humans; Streptococcal Infections; Direct-To-Consumer Screening and Testing; Streptococcus pyogenes; Rheumatic Fever; Pharyngitis
PubMed: 35405137
DOI: 10.1016/j.clinbiochem.2022.04.003 -
JAAPA : Official Journal of the... Dec 2019
Topics: Humans; Pharyngitis; Physician Assistants; Professional-Family Relations; Streptococcal Infections
PubMed: 31770309
DOI: 10.1097/01.JAA.0000604884.43111.ba -
MMW Fortschritte Der Medizin Nov 2021
Topics: Humans; Pharyngitis; Postoperative Complications
PubMed: 34767230
DOI: 10.1007/s15006-021-0531-2 -
MMW Fortschritte Der Medizin Nov 2021
Topics: Humans; Pharyngitis; Postoperative Complications
PubMed: 34708353
DOI: 10.1007/s15006-021-0461-z -
Journal of Clinical Microbiology May 2020Each year, there are an estimated 11 million visits to ambulatory care centers for pharyngitis in children between the ages of 3 and 18 years. While there are many... (Review)
Review
Each year, there are an estimated 11 million visits to ambulatory care centers for pharyngitis in children between the ages of 3 and 18 years. While there are many causes of pediatric pharyngitis, group A streptococcal pharyngitis represents 15 to 30% of infections and is the only cause for which treatment is recommended. Unfortunately, clinical suspicion is insufficient for the accurate diagnosis of group A streptococcal pharyngitis, and laboratory testing for confirmation of infection is required to prevent complications of infection. Traditionally, throat swabs are inoculated onto agar plates for isolation of the large-zone beta-hemolytic streptococcus. However, traditional culture methods present a potential delay in treatment due to turnaround times of 18 to 48 h. In order to improve turnaround times and enhance antimicrobial stewardship, multiple point-of-care assays have been developed. This review describes current point-of-care testing for group A streptococcal pharyngitis, including rapid antigen detection tests and more recent molecular methods. Additional attention is given to the diagnostic considerations when choosing a method for group A streptococcal point-of-care testing, implementation of molecular group A streptococcal testing, and the institutional cost of immunoassays compared to those of newer molecular methods.
Topics: Adolescent; Antigens, Bacterial; Child; Child, Preschool; Humans; Molecular Diagnostic Techniques; Pediatrics; Pharyngitis; Point-of-Care Systems; Point-of-Care Testing; Streptococcal Infections; Streptococcus pyogenes
PubMed: 32161094
DOI: 10.1128/JCM.01494-19