Group A streptococci infections are extracellular gram-positive infections that cause pharyngitis, impetigo, rheumatic fever, and can cause acute glomerulonephritis (Cunningham, 2000). Strep infections are common among in children among the age of five through 15 and is rarely seen in children under three (CDC, 2016). The transmission of strep is usually from person to person through contact with saliva or respiratory secretions from the infection. The incubation period for infection of strep throat is approximately two to five days (CDC, 2016). Treatment for strep infection consist of the administration of oral antibiotics from the penicillin family and if allergy to penicillin is present then administration of mycin family antibiotics (CDC, 2016). Treatment also includes the use of antipyretics for fever and pain control along with oral hydration to prevent dehydration of …show more content…
The patient reports having these symptoms for the past two weeks on and off with areas of redness and dryness to hands. Pt has no pertinent past medical history, takes no daily medications and has non-known drug allergies. The history and physical assessment of the patient revealed that Jack is a maintenance engineer at a local newspaper company and has lately been using chemicals to clean the machines without proper safety equipment. Jack 's hands are red and flushed with areas is scaly skin and patient report that he has episodes of "hot" feeling sensation that comes and goes. The patient denies any other complaints or body rash throughout the