Strep A: Why it can be dangerous and what to know

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Child unwell with fluImage source, Getty Images

By Michelle Roberts

Digital health editor

Health officials say parents should be aware of an infection called Strep A after another UK child died from it.

Since Covid restrictions eased, there are more opportunities for infections like this to spread. Cases have been increasing in recent weeks.

While most people do not get extremely sick, the highly contagious bacteria that causes the infection can cause serious illness and complications.

What is Strep A?

It's a bacteria sometimes found in the throat or on the skin. Many people carry it harmlessly without even knowing, but they can spread it to others who might become ill.

People can catch it through close contact and from coughs and sneezes.

Outbreaks can sometimes happen in places like schools and care homes.

What are the symptoms?

Most often, symptoms are mild - a sore throat or a skin infection that can be easily treated with antibiotics.

But Strep A can cause a range of things - and some of them are more serious.

One is scarlet fever, which mostly affects young children and, again, needs antibiotics. It is a notifiable disease, meaning health professionals must inform local health protection teams of suspected cases so they can be treated quickly and possible outbreaks brought under control.

It causes a rash and flu-like symptoms, including a temperature, sore throat and swollen neck glands. Someone who has scarlet fever may have what doctors call a strawberry tongue (because the appearance looks a bit like a strawberry).

How is it dangerous?

Very rarely, Strep A can also cause something called invasive group A streptococcal infection or iGAS.

Invasive disease happens when the bacteria get past your body's immune defences. This can happen when you are already ill or are on treatments, such as some cancer therapies, that affect your immune system.

Warning signs of invasive disease include:

  • fever (a high temperature above 38C)
  • severe muscle aches

Urgent, early medical help is essential.

The UK Health Security Agency advises: "Anyone with high fever, severe muscle aches, pain in one area of the body and unexplained vomiting or diarrhoea should call NHS 111 and seek medical help immediately."

What to do if your child is unwell

If you think your child may have any symptoms from Strep A then you should speak with your doctor. Tell them if you have been in contact with someone who has had Strep A recently.

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