T_Anna Posted December 11, 2013 Report Share Posted December 11, 2013 My non-PANDAS DS13 tested + for strep on the rapid test. He was on Azithromycin for a week and then I re-tested him and it was clear (ish-I wasn't 100% sure). Friday night he was feeling I'll again and sure enough more strep. He has been in 500mg Azithromycin since Friday and today he came home early because if fatigue and generally not feeling well. He keeps thinking he has a fever, but nothing shows up. He fell asleep at 5:30pm and woke at 8 full of sweat (his room wasn't warm). Any ideas? I guess I'll have to take him in, but I figure this is the best place to ask Strep questions. If it's positive and he's on Axithromycin for 3 days can he still have symptoms or should I ask for something else? Thanks in advance, T.Anna Link to comment Share on other sites More sharing options...
nicklemama Posted December 11, 2013 Report Share Posted December 11, 2013 Ask for something else. There are pockets in the US where azithromycin is not effective on strep. Link to comment Share on other sites More sharing options...
airial95 Posted December 11, 2013 Report Share Posted December 11, 2013 We have tested positive for strep while on Azith - even long term. We have also tested positive while on Augmentin, Cefdinir, Augmentin/Azith combined, Augmentin/Azith/Rifampin combined, and Azith/Rifampin/Cefdinir combined. Cleopatra 1 Link to comment Share on other sites More sharing options...
T_Anna Posted December 11, 2013 Author Report Share Posted December 11, 2013 Thanks Airial95, what's left : )? I will call ped and ask to bring him again if he's still feeling bad today. He's still sleeping. T.Anna Link to comment Share on other sites More sharing options...
JoyBop Posted December 11, 2013 Report Share Posted December 11, 2013 Our DS had a strep infection last Christmas and was treated with a Z-pak. That was when he first PANDAS flare was (SEVERE onset). Unfortunately, now we know that 5 days of Zithromax is not the correct treatment for strep but it does cover other infections in that way. I would definitely ask for either longer course or a different med. KEep in mind that once you are on abx that you can get false negative cultures. Link to comment Share on other sites More sharing options...
Hrosenkrantz Posted December 11, 2013 Report Share Posted December 11, 2013 T anna -- in terms of what's left, my son has had keflex (not sure it did anything) and clindomycin Link to comment Share on other sites More sharing options...
DsMom Posted December 12, 2013 Report Share Posted December 12, 2013 DS was positive while on Augmentin after short runs previously of and Amox, Azith and Cefdiner. After long course of Clinda (after T&A) he's been clear for over a year, so that seemed like the magic ABX to get it out of his stomach biofilm. He never had any symptoms aside from flushing, rashes and a low grade temp which only occured at onset of acute flare. Link to comment Share on other sites More sharing options...
airial95 Posted December 13, 2013 Report Share Posted December 13, 2013 Who knows!!! But considering he woke up this morning with a fever and sore throat...I'm sure we are about to find out! Link to comment Share on other sites More sharing options...
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