Not used to strep patrol

[JAG10]

• dd10 had ivig 7 weeks ago, progressing well
• in-laws came all last wknd for visit; 4 adults, 4 kids ages 9, 3, 3, 22 mos
• One 3 y.o. had a small code brown in our pool, how much time elapsed btw deposit and discover/water treatment is unknown
• Tues, dd7 complains of earache; we begin prescription drops we had
• Wed, dh complains of earache
• I didn't get in the pool; dd10 is on 250mg Augmentin
• Thurs. dd10 and dd7 get blood drawn/titers in prep for Chicago appt. 7/26
• Today, 4am dd7 wakes me screaming of ear pain (i discover the prescription ear drops expired 3/10)
• Make appt., nurse practitioner identifies red ear canal/swimmer's ear (ok-that wasn't rocket science)
• NP tells me her throat is bright red, tonsils +3, patch on velum WHAT???
• Rapid negative (first swab tests she has EVER had) 72 hr culture sent, coincidentally-titers drawn yesterday
• dd7; no throat complaints at all, no fever

Both girls had their annual check-ups two weeks ago and were totally fine. Neither girl has ever had strep symptoms, both just have crazy high titers. So, now what? Is dd10 protected on 250mg Augmentin? I mean, she didn't get the ear infection, but...how worried should I be? ....or better worded, do I need to do anything for her? Dd7 was not put on abx, just the ear drops.

 

Any suggestions or do nothing for now?

Jill

[smartyjones]

jill -- not sure if what i have to say is appropriate, but just remembered when reading your post.

 

my ds, 6, presented with symptoms about 20 months ago. he had separation anxiety with school during nov. halloween day, i remember him freaking out about losing a rock, that he'd just found, in a parking lot and was upset about it for 1/2 hour after. never been attached to something like that before. that night, he fell down some stairs while trick or treating, i seriously thought he broke his arm, he was freaking out so bad.

 

i can't remember details now, but i think he had been scratching ears a few days before and i had my dad (a dr) look in his ears but they looked okay. i had taken him to the ped the day before halloween b/c he had woken up in middle of the night with severe ear pain. he seemed okay in the am. when i took him to dr, said not infected.

 

in dec, he had high titers and positive throat culture.

 

i'd kind of forgotten about that b/c i talk about the behaviors he presented with and that ear issue has faded into the background until i read your post. i think i'd be very suspect about that ear pain!

 

have you gotten results from the culture yet?