Complications of streptococcal tonsillopharyngitis
- Michael E Pichichero, MD
Michael E Pichichero, MD
- Director, Research Institute
- Rochester General Hospital
- Section Editors
- Daniel J Sexton, MD
Daniel J Sexton, MD
- Editor-in-Chief — Infectious Diseases
- Section Editor — Bacterial Infections
- Professor of Medicine
- Duke University Medical Center
- Sheldon L Kaplan, MD
Sheldon L Kaplan, MD
- Editor-in-Chief — Pediatrics
- Section Editor — Pediatric Infectious Diseases
- Professor and Vice Chairman for Clinical Affairs
- Baylor College of Medicine
Pharyngitis caused by infection with Streptococcus pyogenes (also known as group A Streptococcus [GAS]) is usually a self-limited condition; symptoms in untreated patients typically last two to five days. Antimicrobial therapy reduces the duration and severity of symptoms by one to two days (when begun within 48 hours of illness) and prevents spread of infection [1-3]. (See "Treatment and prevention of streptococcal tonsillopharyngitis".)
The other major goal of therapy is to reduce the risk of suppurative and nonsuppurative complications. The potential complications of GAS tonsillopharyngitis will be briefly reviewed here.
The nonsuppurative complications of group A streptococcal (GAS) tonsillopharyngitis include:
●Acute rheumatic fever (ARF)
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- NONSUPPURATIVE COMPLICATIONS
- Acute rheumatic fever
- Scarlet fever
- Streptococcal toxic shock syndrome
- Acute glomerulonephritis
- PANDAS syndrome
- SUPPURATIVE COMPLICATIONS
- Tonsillopharyngeal cellulitis or abscess
- Otitis media
- Necrotizing fasciitis
- Other complications
- PREVENTING COMPLICATIONS
- INFORMATION FOR PATIENTS