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Microscopic polyangiitis after streptococcal pharyngitis in a young woman
  1. Nikolaos Spernovasilis1,
  2. Kostas Stylianou2,
  3. Athanasia Milioni3,
  4. Simeon Panagiotakis1
  1. 1 Department of Internal Medicine, University Hospital of Heraklion, Heraklion, Greece
  2. 2 Department of Nephrology, University Hospital of Heraklion, Heraklion, Greece
  3. 3 Department of Otorhinolaryngology, University Hospital of Heraklion, Heraklion, Greece
  1. Correspondence to Dr Nikolaos Spernovasilis, Department of Internal Medicine, University Hospital of Heraklion, Heraklion 71110, Greece; nikspe{at}hotmail.com
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http://dx.doi.org/10.1136/postgradmedj-2018-135674

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    A 36-year-old woman with insignificant medical history presented to the emergency department with high fever and sore throat. Her body temperature was 38.5°C and pharyngeal erythema was observed. The rapid antigen-detection test for group A streptococcus (GAS) and antistreptolysin O titre were positive. A 10-day course of oral amoxicillin–clavulanate was prescribed, and fever and throat symptoms resolved. Few days later, low-grade fever appeared, accompanied by fatigue, malaise and arthralgias. Finally, due to new-onset shortness of breath, the patient returned to …

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