Beta infection is a bacterial disease known as group A beta hemolytic streptococcus.
It can be seen in both children and adults. The most common types of infections are tonsillitis and pharyngitis in the throat. It can also cause otitis, sinusitis, pneumonia and bronchitis. Although it can be seen at any age, it is most common between the ages of 2-5. Under the age of 2 The socialization of the child and increased contact with the external environment are probably the biggest factors in this. The disease occurs through droplet infection, that is, contact with a sick person or, in some people, when the bacteria carried in the throat is triggered by environmental factors.
The severity of the disease is determined by the body's resistance, the number and strength of the microorganism. It is more common in people with weak immune systems, structurally large tonsils, those who start kindergarten early, and those who have frequent tonsil infections in their families. 1-3 days after the microorganism settles in the throat, complaints of pain in the throat, difficulty in swallowing, and fever begin.
Examination findings reveal swelling in the tonsils, redness, white dots called crypts in the throat, a white layer on the tongue, and painful lymph nodes in the neck under the chin.< br /> Diagnosis is confirmed by laboratory tests such as rapid strep a test, throat culture, hemogram and CRP. After the diagnosis is made, drug treatment is given and used for 0 days. It should be checked that the bacteria is completely treated and cultured again.
Scarlet disease is characterized by red rashes on the body during the disease due to the toxic substances contained in beta microbes. The treatment is the same, medication is used.
In frequently recurring beta infections, if 6 or more medications are used per year, an injection is administered (21 days apart). However, if the disease recurs, it may be necessary to remove the tonsils.
Differential diagnosis should be made with other diseases that give the same complaints and examination findings. Otherwise, both unnecessary treatment and delay in treatment will be caused. The main ones of these diseases are infectious mono nucleosis (kissing disease), adeno virus and other viruses, PAFA disease, and diphtheria disease, although it is no longer seen.
These should be especially examined because they have the same complaints and examination findings as PAFA beta infection. Swab throat in differential diagnosis The defining characteristics are the absence of beta in the tube, the recurrence of the disease at regular intervals, and the lack of response to medication.
Some autoimmune diseases that develop after beta infections may occur depending on the constitutional sensitivity of the person. The M protein found in the structure of the beta microbe cross-reacts with the M protein found in our body (heart, kidney, joint) and causes inflammation in these organs, as if the body's defense systems are treating the infection.
In the disease called APSGN, the kidney is affected, usually 7-7 days after the disease. It appears after 14 days. Tea-like color of urine, decreased urination, and edema in the face, eyes, and legs, depending on the severity of the disease, suggest this disease. It occurs mostly in children aged 4 and above. It usually resolves spontaneously with outpatient follow-up. Urine output, blood pressure and kidney functions are monitored; sometimes kidney failure may occur. Regular follow-up is required.
In acute rheumatic fever, also known as ARF, the heart valves and joints are affected.
It manifests itself with swelling in the joints 1-2 weeks after beta infections. Involvement of heart valves is important. During the examination, a heart murmur is heard.
As a result, diagnosis, treatment and follow-up are important and should be taken seriously in beta infections in childhood.
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