I Have Strep Throat For Almost Two Weeks. 4 Different

Posted on Tue, 20 Oct 2020

Question: I have strep throat for almost two weeks. 4 different abx and still don’t feel 100%. On my third day of Omincef 300 mg bid. When should I feel better?
I’ve been have weakness in the legs and arms.
My ESR was 38 and my WBC is 13. Is this all related to strep? My chest x ray was clear.

Answered by Dr. Chobufo Ditah (1 hour later)

Brief Answer:
Yes, can be explained by streptococcus infection.

Detailed Answer:
HI and thanks so much for this query.

I have reviewed your information fully. Your symptoms and course is not uncommon with strep infection. However, it is not clear to me why you have received up to 4 different types of antibiotics. If there are any concerns about the best antibiotics and or diagnosis, I will suggest you get a throat culture to guide in this regard.

Healing is often slow and patients may get frustrated because of this. Unless I have any other reasons to worry, I Will generally educate them on this which often eases the anxiety and helps tremendously.

I hope this guides and helps. I wish you well. Feel free to follow up with me as you please.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Chobufo Ditah (4 hours later)

I started out on Amoxcillin and three days later the pus pockets and redness was still there. In the past it hasn’t helped at all. Second abx was Augmentin and didn’t see improvements in almost a week. Primary needed yo doing a IM shot of rocephin and started on Omnicef which I’ve responded to in the past. I went to urgent care because my primary was closed and they did a rapid strep test.

It’ll be three weeks on Wednesday and still don’t feel 100%. Just curious with some of labs being out of whacked if my body was getting the proper abx

Answered by Dr. Chobufo Ditah (4 hours later)

Brief Answer:
Please share the lab reports with me.

Detailed Answer:
Hi,

Kindly share the lab results with me. I would like to review and guide. But I believe you have had more than enough antibiotics for a strep sore throat.

Look forward to hearing from you.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Chobufo Ditah (1 hour later)

WBC 13.3 After prednisone
ESR 38

Only abnormals

Answered by Dr. Chobufo Ditah (6 hours later)

Brief Answer:
These are normal

Detailed Answer:
Hi,

WBC are expected to be elevated after receiving prednisone. This is not a concern at this time. The ESR is consistent with an acute infectious process.

I wish you well. Keep me updated.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Chobufo Ditah (2 hours later)

I had an EKG done on 9/1 that showed NSR QTC 384 ms. Normal axis. No st or t wave abnormalities

They did an an EKG on 9/26 that said NSR. Poor R Wave progression across the precordium. Is that normal or could be from lead placement?

Answered by Dr. Chobufo Ditah (9 minutes later)

Brief Answer:
Poor lead placement

Detailed Answer:
Hi,

Poor lead placement is the Most common reason for poor r wave progression. The first step is always to repeat the EKG. There is nothing to worry about here.

I wish you well.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Chobufo Ditah (2 hours later)

I was hooked up to an EKG for the duration of my ER stay. Would ER doc evaluating me be able to see it on 3 lead if it was an abnormality? I was already d/c from the ER by the time cardiologist read EKG

Answered by Dr. Chobufo Ditah (35 hours later)

Brief Answer:
Sure!e

Detailed Answer:
The machines are monitored constantly and have inbuilt alarms to signal when something wrong is going on.

All is well. I wish you well.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng