[36F] With sore throat and associated symptoms after exposure to strep throat

Patient Description

A 36-year-old female presents with a sore throat, nasal congestion, headache, ear pain, and a low-grade fever. The sore throat began gradually one day ago and is rated as 7 out of 10 in severity. The patient reports being in close contact with her baby, who was recently diagnosed with strep throat. The headache is localized to the left temple area and is constant. The patient experienced a recent stomach bug but denies any recent injuries to the ear or head, travel, dietary changes, or exposure to new environments. Her medical history is significant for severe asthma, diagnosed in 2014. Current medications include Lexapro 20mg daily, levothyroxine 88mcg daily, Junel daily, and Nuvigil 250mg daily, all taken for over a year. No known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Viral Upper Respiratory Infection (Common Cold): Your symptoms of sore throat, nasal congestion, headache, and ear pain could be due to a viral infection, which is very common and often resolves on its own. These infections can cause a range of symptoms, including those you're experiencing.

    • Treatment: Typically involves rest, hydration, and over-the-counter medications to relieve symptoms such as pain and congestion.
  • Strep Throat: Given your baby's recent diagnosis of strep throat, it's possible you may have contracted the same bacterial infection. Strep throat can cause a sore throat, headache, and fever.

    • Treatment: Requires antibiotics prescribed by a healthcare provider. It's important to see a doctor for a throat swab to confirm the diagnosis.
  • Sinusitis: The combination of nasal congestion, headache, and ear pain might suggest sinusitis, which is an inflammation of the sinuses often following a cold.

    • Treatment: May include decongestants, nasal saline rinses, and sometimes antibiotics if a bacterial infection is suspected.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to help thin mucus and keep your throat moist.
  2. Rest: Ensure you get plenty of rest to help your body fight off the infection.
  3. Over-the-Counter Relief: Consider using over-the-counter pain relievers like ibuprofen or acetaminophen to help with the sore throat and headache. Decongestants or saline nasal sprays may help with nasal congestion.
  4. Humidifier: Using a humidifier in your room can help keep the air moist and may relieve congestion and throat discomfort.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • Your symptoms worsen or do not improve after a few days.
    • You develop a high fever or notice white patches on your throat, which could indicate a bacterial infection like strep throat.
    • You experience difficulty breathing or swallowing, which could be a sign of a more serious condition.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask


What are the common symptoms of a viral upper respiratory infection?

Common symptoms of a viral upper respiratory infection, or common cold, include sore throat, nasal congestion, headache, ear pain, cough, and sometimes a low-grade fever. These symptoms usually resolve on their own within a week or two.


How can I tell if I have strep throat instead of a common cold?

Strep throat often presents with a sudden onset of sore throat, pain when swallowing, fever, and swollen lymph nodes. Unlike a common cold, strep throat does not usually cause a cough. A throat swab test is needed to confirm strep throat.


What are the treatment options for sinusitis?

Treatment for sinusitis may include decongestants, nasal saline rinses, and sometimes antibiotics if a bacterial infection is suspected. Over-the-counter pain relievers can help with discomfort, and using a humidifier may also provide relief.


When should I seek medical attention for a sore throat and related symptoms?

You should seek medical attention if your symptoms worsen or do not improve after a few days, if you develop a high fever, notice white patches on your throat, or experience difficulty breathing or swallowing, as these could indicate a more serious condition.


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