Shocking Revelations About Strep Throat

This is a bit off the topic of sleep apnea, but definitely relevant for everyone. I just finished reading Dr. David Newman’s book, Hippocrates’ Shadow:What Doctors Don’t Know, Don’t Tell You, and How Truth Can Repair the Patient-Doctor Breach. It was an eye-opening book, confirming my suspicions that many of the routine forms of therapy […]

An Alternate Explanation For Strep Throat & Rheumatic Fever

KevinMD had a guest blogger who questioned the value of needing to treat one million strep throat infections with antibiotics to save one patient from rheumatic fever and heart disease. Typically, we only need to treat a particular strain of strep called Group A beta-hemolytic Strep (GABHS), which produces a particular type of toxin and […]

Is That Scratchy Throat Really A Cold? The Case Against Strep Throat (Part 2)

In my last post I described a typical person that sees me for a few day history of throat pain. She has cold-like symptoms, but her exam is essentially normal. Her voice box does show mild swelling and inflammation, consistent with laryngopharyngeal reflux disease.  Upon further questioning, she remembers that she did have a late […]

Is That Scratchy Throat Really A Cold? The Case Against Strep Throat (Part 1)

Here's a typical patient that I see 2-3 time every day in my practice: A young woman comes in complaining of waking up Sunday morning with a sore and scratchy throat. She thinks she may have caught her husband's cold, since she is also experiencing some sweats, low-grade fever and unrefreshing sleep. I ask repeatedly […]

Q: How do I know if I have Strep throat?

A: The only official way is to undergo a throat culture (which takes 2-3 days), or undergo a rapid “Strep” test in the office (but only 80-90% accurate). The only strain of bacteria that’s tested for is GABHS, or group A beta hemolytic streptococcus. This particular strain of bacteria can produce toxins that can potentially injure […]