MedBugs: SAQ #636

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Case: iGAS

The microbiology registrar calls to inform you of a positive blood culture result (Streptococcus pyogenes / Invasive Group A Streptococcus) for 2-year-old girl. She was discharged overnight from your department, following assessment for a febrile illness. The child has been recalled for further assessment and treatment.

1. List (6) clinical manifestations of invasive Group A Streptococcus (iGAS) 6 marks

2. List (6) patient factors that increase the risk for iGAS infection in ANY patient. 6 marks

The child has no allergies, weighs 15kg.

3. What antibiotics (with dose) are indicated to treat iGAS without features of septic shock? 2 marks

4. List (4) features regarding the public health management of this case. 4 marks

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Case: iGAS

1. List (6) clinical manifestations of invasive Group A Streptococcus (iGAS) 6 marks

2. List (6) patient factors that increase the risk for iGAS infection in ANY patient. 6 marks

3. What antibiotics (with dose) are indicated to treat iGAS without features of septic shock? 2 marks

4. List (4) features regarding the public health management of this case. 4 marks

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