The Strep Throat That Wasn’t
1.Symptoms
A strep infection (top) and pneumonia (bottom) were two possible causes of the boy‘s high fever and painful throat.
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“I — can’t — breathe,” the boy gasped. There was panic in his voice and face. He moved restlessly in his hospital bed, tugging at the clear plastic mask covering his nose and mouth. An alarm sounded distantly, alerting the nurses to the boy’s distress in the pediatric intensive-care unit of the Cardinal Glennon Children’s Medical Center in St. Louis. Before the nurses could respond, the boy’s mother replaced the oxygen mask, stroking his face and murmuring reassurances as if he were 7 years old rather than 17.
Dr. Jeremy Garrett, an associate professor of pediatrics at St. Louis University School of Medicine, was worried about the boy. When Garrett first saw him, early that morning, he wondered what this robust man-child was doing in the ward reserved for the very sickest children. At that point, the patient had a fever but otherwise looked well.
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