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Query: UMLS:C0242429 (sore throat)
 2,760 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Acute rheumatic fever is reported to have declined and perhaps be vanishing. Prompted by the occurrence of 17 cases of acute rheumatic fever in an 18-month period in 1985 and 1986, we reviewed the records of 243 children with acute rheumatic fever who were cared for at Children's Hospital of Pittsburgh or Mercy Hospital between 1965 and 1986. Acute rheumatic fever was diagnosed using the modified Jones criteria and cases were classified by major criteria as arthritis, arthritis and carditis, carditis alone, carditis and chorea, chorea alone, and arthritis and chorea. Among the 17 recent patients, 59% had carditis, 30% had chorea, and 24% had arthritis alone. The proportion of children who had particular major manifestations was similar in the last two decades and in 1985 to 1986. The recent children with acute rheumatic fever ranged in age from 6 to 13 years with a mean and median age of 10 years. There were 16 white children and one Asian child. Only four children lived in an urban setting. When demographic features of the children were contrasted with those in the previous two decades, a decrease in the proportion of children who lived in urban areas and who were black was noted. Four children had a history of preceding sore throat but only three sought medical care; nine children had no memorable illness and four had either a nonrespiratory illness or a respiratory infection without sore throat. This resurgence of rheumatic fever serves as a reminder that a diligent approach to the diagnosis and therapy of streptococcal infections remains essential.
Pediatrics 1987 Sep
PMID:Acute rheumatic fever in western Pennsylvania and the tristate area. 362 88

Municipal sewage treatment plant workers are potentially exposed to a multitude of industrial chemicals and pathogenic microorganisms. A questionnaire survey of working habits, lifestyle and symptoms of illness was conducted among 189 municipal sewage treatment plant workers processing between three and ten million gallons of wastewater daily in 16 plants in New York State between March and July of 1984. Water treatment plant workers in the same cities comprised the comparison group. Sewage workers reported a significantly higher frequency of headache, dizziness, sore throat, skin irritation and diarrhea within the month immediately preceding receipt of the questionnaire, after controlling for various possible confounders. Eye and skin irritation were significantly associated with exposure to mutagens. The health significance of these findings and possible sources of error in assessing risk are discussed.
Toxicol Ind Health 1987 Sep
PMID:Health among municipal sewage and water treatment workers. 368 35

Bleeding involving the upper airway is a rare, highly emergent complication of hemophilia. This report describes the occurrence of two distinct episodes in a patient with severe factor IX deficiency. Clinical data from other cases described in the literature is summarized with regard to predisposing factors, age of incidence, presenting symptomatology, diagnosis, and management. Pertinent features of this bleeding complication include: high prevalence involving the pediatric population, presentation with non-specific symptoms (e.g., sore throat, dysphagia) early in the course of the bleeding episode, progression to complete upper respiratory obstruction if not recognized and treated, and the need for relatively high levels of the deficient coagulation factor for a period of at least 7 days to ensure resolution of the hematoma. The diagnosis is confirmed by observing retropharyngeal soft-tissue widening on lateral neck x-ray or alternatively, via cervical computed tomography.
Clin Pediatr (Phila) 1986 Sep
PMID:Hemorrhage involving the upper airway in hemophilia. 374 23

A total of 1051 patients with sore throat were registered by 358 general practitioners (GPs) each participating for one week some time during a one-year study period. Contacts related to emergency medical service work, and contacts by telephone only were also included. The annual incidence of sore throat was estimated to be 100 per 1 000 person years. A bacterial or presumedly bacterial etiology was clinically diagnosed in 64% of the patients, and a viral or presumedly viral etiology in 30% of cases, while for six per cent of the patients, the GP was in doubt as to the etiology. The strategy of management was as follows: nine per cent had a throat swab taken and antibiotics prescribed; 15% were swabbed, and did not receive an immediate prescription; 54% were prescribed antibiotics without being swabbed; and 23% were neither swabbed nor treated with antibiotics. With increasing age of the doctor, increasing frequencies were found regarding the clinical assumption of a bacterial etiology and prescribing of antibiotics, whereas the frequency of obtaining throat swabs decreased. Similar findings were made when the type of contact was home visit as opposed to contact at the surgery.
Scand J Prim Health Care 1986 Sep
PMID:Incidence and management of sore throat in general practice. 377 37

Children who have been sexually abused develop a variety of emotional and physical complaints, often unrelated to the genital area. Emergency department records of children diagnosed as being sexually abused were reviewed for the period covering January 1984 through June 1985. Of 26,000 patients seen, 300 cases of sexual abuse were identified. Of these, 57 were patients who presented with initial complaints other than sexual abuse. The data were analyzed for age, sex, chief complaint, time of presentation, physical findings, and person accompanying the child. The most common presenting complaints of these 57 patients were abdominal pain (26%) and vaginal symptoms (26%) The latter included pruritus, discharge, and bleeding. Other complaints included rectal bleeding or constipation (9%), chronic urinary tract infection (5%), straddle injury (4%), and suicide attempt (2%). The remaining 26% included fever, respiratory infections, sore throat, asthma, bronchitis, obesity, mastoiditis, and weight loss. Because resident physicians are instructed to conduct complete anal and genital examinations on all patients, sexual misuse was often diagnosed with seemingly unrelated complaints. A protocol developed for use in the emergency department is described.
Pediatr Emerg Care 1986 Sep
PMID:Presentation and evaluation of sexual misuse in the emergency department. 378 20

A 17-year-old white male with a past history of chronic inhalational abuse of plastic glue was referred to our institution for sore throat, cervical adenopathy, and an abnormal peripheral blood smear. A diagnosis of acute myelomonocytic leukemia was made and abnormalities in cytogenetic studies were demonstrated. Specific inquiry regarding this form of drug exposure should be pursued when searching for possible etiologies of malignant disease.
Am J Hematol 1985 Sep
PMID:Acute nonlymphocytic leukemia in a glue sniffer. 386 Oct 92

Viable counts of beta-haemolytic streptococci per ml. of saliva were made in the following groups: (1) children with acute streptococcal sore throat, (2) children with acute non-streptococcal sore throat, (3) children who had no sore throat but were streptococcal throat carriers, (4) children who neither had a sore throat nor were streptococcal throat carriers.The mean counts from cases of streptococcal sore throat and from streptococcal carriers were respectively 1.4 x 10(6) and 2.5 x 10(5) per ml.In a comparison of the efficiency of the throat swab, sublingual swab and specimen of saliva in isolating beta-haemolytic streptococci from the upper respiratory tract, culture of saliva produced the best results.
J Hyg (Lond) 1971 Sep
PMID:Beta-haemolytic streptococci in saliva. 493 52

Six-year-old Mary has a new baby sister, and her father, who recently lost his job, is talking about moving to another city where employment opportunities are better. Mary is worried about leaving her friends and going to a new school. With her mother preoccupied with the baby and her father job hunting, Mary responds to the stress in her life by having a sore throat. In this article, Dr Haggerty urges that children like Mary must be taught to deal with stress in ways that lessen susceptibility to illness but retain the motivating and life-enhancing virtues of stress and suggests that health care providers take on the role of teacher.
Postgrad Med 1983 Sep
PMID:Breaking the link between stress and illness in children. What role can physicians play? 688 3

One hundred and seventy-one children up to 15 years of age and with acute otalgia were examined to find out whether otalgia or any other symptoms were so closely related to acute otitis media (AOM) as to make otoscopic examination unnecessary. AOM was diagnosed in 46%, simplex otitis in 15%, serous otitis media (SOM) in 17%, and normal eardrums in 22%. Children with AOM had fever and spontaneous perforation of the eardrums in 78% and 30% of the cases, respectively. Of the children who had not AOM (54%), the otalgia could in most cases be classified as referred pain due to, for instance, discomfort when swallowing, nasal obstruction or throat pain. Other reasons were general irritability due to fever, teething or moderate hearing loss. The difficulties in diagnosing AOM simply on the basis of symptoms were demonstrated in the investigation. Symptoms such as otalgia, otorrhea, fever or upper respiratory tract infection (URI), possibly except for the combination of otorrhea and fever, can occur without AOM. A correct otoscopic examination and evaluation of the eardrums is necessary in children with otalgia, other symptoms of URI or in doubtful cases of acute illness. Physicians without possibilities to evaluate the eardrums properly should thus refer the patient to an otologist without delay.
Acta Paediatr Scand 1982 Sep
PMID:Acute otalgia in children - findings and diagnosis. 689 Nov 67

Fusobacterium necrophorum septicemia developed in five patients after an oropharyngeal infection. Four patients had sore throat or neck pain, and two had findings of jugular vein septic thrombophlebitis. Metastatic abscesses, including embolic pneumonia, empyema, septic arthritis, and osteomyelitis, also occurred. Four patients recovered and one died. Proper treatment requires recognition of the oropharyngeal source of the septicemia and its differentiation from endocarditis. Antibiotic therapy should be prolonged, and metastatic abscesses drained.
JAMA 1982 Sep 17
PMID:Fusobacterium necrophorum septicemia following oropharyngeal infection. 695 28


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