|SAMUEL R. WILLIAMS, M.D.
LISA WILLIAMS PETIT, M.D.
PEDIATRICS AND YOUNG ADULTS
ILLNESSES WE ARE SEEING IN THE OFFICE
AS OF JANUARY, 2020
STREP THROAT INFECTIONS
Usually when we refer to Strep Throat Infections, we are talking about Group A Strep Infections. But we have noticed 4 things
about Strep infections.
1. We have seen throat infections that look just like Group A Strep Infections. Yet our rapid strep screening tests, that test
for Group A strep, have been negative. There are other groups of strep - B,C,D,E.F, and G. Throat cultures which can take 3
to 4 days, have been positive for Groups C and G. So we now know that other groups of strep are causing infections.
2. Strep Throat infections are now year round and we are seeing more cases.
3. Some patients present with complaints of fever only or complains of a sore throat that looks completely normal on exam.
But our rapid strep tests are strongly positive for Strep Group A.
4. Some of the Strep Throat infections are now resistant to the Penicillins. We have been forced to use medications from
other families of antibiotics.
In summary, Strep Throat infections are no longer limited to Group A, some are resistant to the Penicillins, and patients can
have Strep Throat with normal appearing throats. This certainly doesn't make our job any easier.
Our teenage girls and young women are presenting with vaginal discharge. Some of the patients are too embarrassed to let
the doctors know their problem. The main diseases we are seeing are:
1. Yeast infections. Usually a white cottage cheese discharge with redness, irritation, and itching. It easy for us to test and
treat this condition.
2. Bacterial Vaginosis. Usually has a foul smelling vaginal discharge. Some people described the discharge as having a
"fishy" odor. This condition is caused by an overgrowth of our "bad", but normal, bacterial vaginal flora. This condition is
also easy to confirm and treat.
3. Chlamydia. This is the most common sexually transmitted disease. It requires treatment- not only for the patient, but for the
sexual contacts also. It can cause major problems in teenage girls and women.
Patients are presenting with a history of persistent coughing. Sometimes, a fever is present. The cough is usually a
congested cough. A viral illness, called Croup, presents with a dry, barking cough heard mainly in the evening.
The symptoms of walking pneumonia are persistent coughing that can last for weeks. Also, there may be wheezing, an ear
infection, and a low grade fever associated with this disease. Usually, the patients don't appear to be severely ill. It is
caused by a bacteria called mycoplasma.
WE ARE NOT SEEING EBOLA VIRUS
FOR OFFICIAL INFORMATION ON THE EBOLA VIRUS PLEASE CLICK HERE
Patients are presenting with headaches, sore throat, nasal congestion with yellow-green discharge, and fever. Antibiotics for
10 to 20 days is the treatment. A one time antibiotic injection is also used to treat this infection. The injection, which is usual
administered in the buttocks, is equivalent to ten days antibiotics.
Patients are presenting with diarrhea and vomiting. It appears to be viral in nature. Most patients are responding to
symptomatic treatment to rest the stomach such as clear liquids, soft foods, and anti-diarrhea medications. Some patients
have required medication to halt the vomiting..
Patients are presenting with headaches, sore throat, nasal congestion, chills, body aches, coughing, tiredness, and fever.
The worse cases are being seen in patients who did not get the Flu vaccine. We have had great success with an anti-Flu
prescription medication called TamiFlu.
VOMITING AND DIARRHEA