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The Watercooler
Strep Throat Question
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<blockquote data-quote="smallworld" data-source="post: 47466" data-attributes="member: 2423"><p>Kjs, just so you know there is no specific blood test for active strep. If the white cell count is high, that can indicate a bacterial infection, which can be strep but could be another bacteria entirely (in other words, high white cell count is not specific to strep). Several weeks after a strep infection, certain blood titers rise, which indicate the presence of a PAST (not active) strep infection.</p><p></p><p>One time we suspected difficult child 1 had strep, but he wouldn't let the pediatrician near him for a throat culture (high anxiety). The pediatrician did a blood test, and difficult child 1's white count was very high. The pediatrician treated him with a broad-spectrum antibiotic (instead of amoxicillin, which is commonly prescribed for strep) because the pediatrician knew difficult child 1 had a bacterial infection, but he couldn't assume it was strep. Fortunately, difficult child 1 responded very quickly to the antibiotic. </p><p></p><p>SRL, glad you're feeling a little better today. I don't think I've heard of anyone in their 40s having mono, but our pediatrician once told me that a high percentage of kids test positive for the mono antibody (in subsequent blood work) prior to the teenage years, but it is frequently not caught for the reason you suggested -- everyone just assumes it's a very bad cold or sore throat.</p></blockquote><p></p>
[QUOTE="smallworld, post: 47466, member: 2423"] Kjs, just so you know there is no specific blood test for active strep. If the white cell count is high, that can indicate a bacterial infection, which can be strep but could be another bacteria entirely (in other words, high white cell count is not specific to strep). Several weeks after a strep infection, certain blood titers rise, which indicate the presence of a PAST (not active) strep infection. One time we suspected difficult child 1 had strep, but he wouldn't let the pediatrician near him for a throat culture (high anxiety). The pediatrician did a blood test, and difficult child 1's white count was very high. The pediatrician treated him with a broad-spectrum antibiotic (instead of amoxicillin, which is commonly prescribed for strep) because the pediatrician knew difficult child 1 had a bacterial infection, but he couldn't assume it was strep. Fortunately, difficult child 1 responded very quickly to the antibiotic. SRL, glad you're feeling a little better today. I don't think I've heard of anyone in their 40s having mono, but our pediatrician once told me that a high percentage of kids test positive for the mono antibody (in subsequent blood work) prior to the teenage years, but it is frequently not caught for the reason you suggested -- everyone just assumes it's a very bad cold or sore throat. [/QUOTE]
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