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Complications of Strep Throat

Strep throat is an infection of the throat that can make your throat swollen, red and sore. It is caused by the Streptococcus bacteria and typically clears up on its own within a few days to a few weeks. However, in rare cases, strep throat can lead to complications. Complications are either related to the infection itself or the way the immune system responds to it.

Complications of Strep Throat

Complications of strep throat fall into three categories: nearby infections, deeper infections and immune system complications. If you or a loved one develops strep throat, it can prove beneficial to familiarize yourself with potential complications and the symptoms they cause.

Nearby Infections

If the antibiotics your doctor prescribes you to treat strep infection do not kill off the bacteria entirely, the infection can spread to nearby areas of the body. When this happens, the following body parts may become infected:

  • Tonsils
  • Middle ear
  • Sinuses

Though uncomfortable, infections of these body parts are rarely cause for concern. Typically, they can be treated with the same antibiotics that you took or are taking for the initial strep infection, albeit at a higher dose. If your doctor believes the antibiotics are ineffective, he or she may prescribe a new medication.

Deeper Infections

Whereas nearby infections are rarely cause for concern, deeper infections are worrisome. Deeper strep infections, also referred to as “invasive strep infections,” occur when the infection makes its way to the tissues beneath the skin, infecting fat and muscle. Another name for this type of progressive strep infection is “necrotizing fasciitis,” which basically means, “flesh-eating disease.”

Necrotizing fasciitis is life-threatening and should be treated as an urgent medical emergency. Though a scary possibility, know that it is a rare one, with less than 1 in one million strep cases leading to it.

Blood Infections

Another scary complication that strep bacteria can cause is blood infection. Blood infection occurs when the bacterium makes its way into the bloodstream, where bacteria typically do not live. When bacteria enter the bloodstream, the resulting condition is called “bacteremia.”

Though also rare, bacteremia caused by strep infection is dangerous, as it can lead to a life-threatening condition called “streptococcal toxic shock syndrome.” This syndrome is characterized by organ failure and has a mortality rate of between 30% to 70%. The mortality rate is high even for individuals who receive prompt and aggressive treatment.

Unfortunately, the symptoms of STSS are mild at first, resembling the standard flu more than toxic shock. For this reason, health organizations urge you to call your doctor or visit the local emergency room if you develop one or more of the following symptoms while dealing with or soon after recovering from strep infection:

  • Fever
  • Muscle and body aches
  • Cough
  • Pains
  • Chills
  • Shortness of breath

Other Infections

Strep can cause other complications deeper within the body. For some people, it can lead to pneumonia which, for some people, can become serious quickly. It can also lead to joint and bone infections.

Immune System Complications

In addition to widespread infection, strep can cause immune system complications. Top complications of strep infection are as follows:

  • Scarlet Fever: Scarlet fever is a common strep complication in children between the ages of five and 15. It begins with a rash along the neck, underarms and groin area and, if left untreated, spreads from there. Though the prognosis for scarlet fever is good when children receive appropriate antibiotic treatment, it can lead to long-term health problems if treatment is not administered quickly enough.
  • Rheumatic Fever: Another complication common in children, rheumatic fever is characterized by joint, heart, skin and nervous system inflammation. It can cause nosebleeds, joint pain, high fever and rash, along with long-term symptoms. You can reduce your or your child’s risk of developing rheumatic fever by seeking swift treatment for an initial strep infection.
  • Kidney Inflammation: Inflammation of the kidneys, otherwise known as “poststreptococcal glomerulonephritis,” is another complication of strep. It typically goes away on its own, along with the initial infection, but in some cases antibiotics are necessary to fight it.

Who Is At Increased Risk for Strep Complications?

Some people are more at risk than others for developing strep infection complications. Those people have the following risk factors:

  • Individuals with weakened immune systems
  • Children who have or had chickenpox
  • Someone who has been burned
  • Elderly individuals with cancer or diabetes

Though there is always the risk of complications when you come down with any illness, you can drastically reduce your risk by following two simple guidelines: Begin treatment as soon after diagnosis as possible and follow doctor’s orders. By doing these two simple things, you can help your body fight off the strep bacteria quickly and, in the process, minimize the risk of it spreading to other parts of your body.

 
 
 

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