When do you swab?

[JAG10]

I have 2 girls; one 10 w/glaring, debilitating behavioral symptoms, one 6 w/mild anxiety, IBS. Both with sky high ASO and DNase-b titers, mildly elevated myco p. Both asymptomatic of strep. Neither has been cultured for strep that I can remember, except when 10 yo's lab results came back. Dr. T had both of them on Biaxin, the 6 yo for only 10 days and IBS symptoms vanished. dd6 finished her 10 days on Monday, last night and this morning, she's complaining of a sore throat (yes, she still has tonsils). No congestion, runny nose or coughing. dd6 has only been to peds office for yearly check-ups in the past two years.

 

Questions- How long do I wait before I take her in to get her swabbed? Do you think this is a coincidence? Could the abx have stirred things up to make an asymptomatic child now symptomatic??? Her peds office does not have weekend hours, so do you think it would be too soon to take her today or wait til Monday? Should there be a fever? how high? help?

[peglem]

My daughter, before prophylaxis, would test positive for strep as soon as 3 days post abx. She only had behavioral symptoms. I'd get her swabbed as soon as I saw behaviors surface.