dut Posted January 15, 2010 Report Posted January 15, 2010 Hello I know this got visited a while back but thought with new members I'd ask again. When our dd6 had her 1st episode, she cultured positve for beta hemalytic NOT Group A strep. My dh cultured positve for Group B strep shortly before that episode. I cultured positive for Group B during her 2nd episode (in my throat). I have just cultured positve for beta hemalytic NOT Group A in my nose. That culture was taken 3 days into a z-pack and 2-3 weeks after a previous z-pack that I missed the last dose of due to gastroenteritis. Do others feel that different types of strep could be an issue and not just in the same way that all infections can ramp the immune system and cause episodes but in an inital trigger kind of way? (sorry didn't explain that very well...) I got the sense from Dr T that he felt other streps may be an issue. I think we will always, in future, not just ask for a swab looking for strep A but ask for the general swab that identifies all growth. If you ask for Group A that is all you get results for, I believe. They will not comment on other Groups found etc. Any ideas welcome, thanks...
Suzan Posted January 16, 2010 Report Posted January 16, 2010 Hi dut! When I was cultured positive for Strep B, I asked Dr. Cunningham if she thought strep B would affect the children. She basically said that all strep was related so it could be a factor and that I should be treated. It's hard to say in our case, but I do feel that my kids were reacting to my infection. But, with everything going on, it's hard to say for sure. Susan
amy s Posted January 16, 2010 Report Posted January 16, 2010 My dd also had beta hemolytic strept rather than group A
dut Posted January 16, 2010 Author Report Posted January 16, 2010 Thanks for the responses. suzan and amy s - did/do your drs recommend treatment with abx for your children or other family members even tho' it's not Group A. If so, would you mind telling me who your drs are and their reasoning for this. Also, if treated what abx did you use and did you test afterwards to check for clearance. Sorry for so many questions but our ped feels treatment is not necessary as dd and ds are doing ok at the moment. She feels we'd be in a worse place if it were a problem but is happy to offer abx anyway. I just don't want to look like the crazy woman jumping at shadows and risk losing the good relationship I have with our dr. Also, my culture was positive after one recent and during a second (virtually completed) course of azithromycin and our ped feels we probably won't get clearance anyway of what is considered normally present upper resp flora...... Thanks...
Suzan Posted January 16, 2010 Report Posted January 16, 2010 Thanks for the responses. suzan and amy s - did/do your drs recommend treatment with abx for your children or other family members even tho' it's not Group A. If so, would you mind telling me who your drs are and their reasoning for this. Also, if treated what abx did you use and did you test afterwards to check for clearance. Sorry for so many questions but our ped feels treatment is not necessary as dd and ds are doing ok at the moment. She feels we'd be in a worse place if it were a problem but is happy to offer abx anyway. I just don't want to look like the crazy woman jumping at shadows and risk losing the good relationship I have with our dr. Also, my culture was positive after one recent and during a second (virtually completed) course of azithromycin and our ped feels we probably won't get clearance anyway of what is considered normally present upper resp flora...... Thanks... For us, my girls were just put on long term antibiotics for their vaginal strep A and I was soon after positive for strep B. My doc treated me at my request but he was not interested in re-testing to be sure it was gone since he's of the thought that it is not harmful if no symptoms. I was having the watery discharge though that my dd's complain about when they have v. strep A. That has now gone away for me with treatment. I can't remember what abx he put me on though but it was a 10 day treatment. Susan
amy s Posted January 16, 2010 Report Posted January 16, 2010 Thanks for the responses. suzan and amy s - did/do your drs recommend treatment with abx for your children or other family members even tho' it's not Group A. If so, would you mind telling me who your drs are and their reasoning for this. Also, if treated what abx did you use and did you test afterwards to check for clearance. Sorry for so many questions but our ped feels treatment is not necessary as dd and ds are doing ok at the moment. She feels we'd be in a worse place if it were a problem but is happy to offer abx anyway. I just don't want to look like the crazy woman jumping at shadows and risk losing the good relationship I have with our dr. Also, my culture was positive after one recent and during a second (virtually completed) course of azithromycin and our ped feels we probably won't get clearance anyway of what is considered normally present upper resp flora...... Thanks... You know, I wanted to say that my dd's first exposure/pandas issue was group A (scarlet fever in household). But she was tested postive for beta strept over a year later (same long horrible exacerbation) and no longer was testing positive for group A at that time for whatever reason. She had tested positive also for mycoplasma pneumonia at the same time and so she was put on daily zithro and monthly injections of penicillian. After the course of zithro to rid the mycoplasma, we switched her to Augmentin after consulting with Dr. K and then she had IVIg very quickly after that.
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