Swab Culture is Inaccurate Test for Determining Tonsillitis

A fascinating study came out in June 2017 that compared the bacteria found on the tonsil surface by swab versus bacteria found within a core needle biopsy versus bacteria found within the dissected tonsil's core. The take home finding is that a swab culture poorly identifies the bacteria causing recurrent tonsillitis . Based on 54 children who underwent tonsillectomy , researchers performed a swab, needle biopsy, and core dissection of all tonsils removed. Culture results obtained from…

6/28/2017 0

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Psoriasis Improves After Tonsillectomy

Image by Bobjgalindo in Wikipedia It is felt that certain skin psoriasis conditions may improve if not completely resolve after tonsillectomy . The psoriasis could be anywhere on the body and is hypothesized to be triggered by an abnormal immunological response to streptococcus, an organism commonly found in tonsillitis as well as strep throat. The exact mechanism is unclear but several studies performed over the years found potential benefit, especially for guttate psoriasis and even t…

12/04/2016 0

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Pet Dog May Cause Recurrent Strep Throat

Image courtesy of alex_ugalek at  FreeDigitalPhotos.net In rare situations, strep throat infection bounces repeatedly among all family members. In such situations, the family's pet dog may be the carrier for strep that may cause such recurrent strep infections among the children and parents. See references below. Fortunately, in the vast majority of situations, the pet dog has no role in recurrent strep throat infections . Indeed, many healthcare professionals are in fact skeptical …

8/21/2016 0

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What is the Most Common Cause of Bacterial Sore Throat? (Hint... It is NOT Strep)

Viruses may cause the most sore throats, but when it comes to bacterial sources, strep seems to get a bad rap as THE germ that causes tonsillitis and pharyngitis. However, a 2015 study from University of Alabama suggests that group A strep which is detected by the commonly used rapid strep swab only accounts for about 10% of bacterial sore throats. The real culprit that causes most of the bad non-viral sore throats at least in young adults (15-30 years) is Fusobacterium necrophorum . Th…

5/08/2015 1

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Tonsillectomy "May" Help with PANDAS?

Only in kids, there is a VERY rare (and controversial) disorder where strep throat infections can rapidly lead to involuntary tics including  chronic throat clearing ,  cough , head/neck movements, sneeze, etc as well as OCD behavior. Known as PANDAS ( P ediatric A utoimmune N europsychiatric D isorder A ssociated with S treptococcus), it is felt to be an autoimmune reaction triggered by antibodies produced by the body when fighting a strep infection. With this disorder, an evaluation with…

1/10/2015 1

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At-Home Rapid Strep Testing

Rapid strep test kits can be purchased by anybody to be done at home which may save parents/patients a lot of money in doctor visits for those prone to strep infections . Indeed, should a rapid strep test be positive, than you know that a doctor's visit is definitely worthwhile. (A doctor visit may still be worthwhile since a sore throat may be due to something else like cancer , aphthous ulcer , sinus infection , reflux , etc). Such home kits (which in fact are the same kits used in medi…

11/16/2013 0

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