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Clinical
Case report
Case of sexually transmitted recurrent pharyngotonsillitis caused by group A streptococcus
  1. Yusuke Watanabe,
  2. Akihiro Sato,
  3. Itaru Nakamura,
  4. Hidehiro Watanabe
  1. Department of Infection Prevention and Control, Tokyo Medical University Hospital, Shinjuku, Tokyo, Japan
  1. Correspondence to Dr Itaru Nakamura, Department of Infection Prevention and Control, Tokyo Medical University Hospital, Shinjuku, Tokyo 160-0023, Japan; task300{at}tokyo-med.ac.jp

Abstract

We report a five-time recurrent pharyngotonsillitis caused by group A streptococcus (GAS) after sexual contacts and had no recurrence after concurrent therapy to both partners. Although Streptococcus pyogenes (GAS) is a Gram-positive streptococcus capable of causing a recurrent pharyngotonsillitis, the recurrent GAS pharyngotonsillitis as STI has not been published.

A 30-year-old man had a high fever and sore throat. He had a repeated pharyngotonsillitis caused by GAS in spite of the sufficient antimicrobial therapy after having sex with his partner, including oral penile and oral vaginal sex. In contrast, a hug and kiss alone did not precede his episodes of pharyngotonsillitis. His partner had GAS carriage on her pharynx. He had no recurrence after concurrent therapy to both partners. The recurrent GAS pharyngotonsillitis as STI has not been published. In a patient with recurrent pharyngotonsillitis caused by GAS, the sexual history and pharyngeal carrier status of the partner should be checked.

  • infection
  • sexual behaviour
  • general practice

https://doi.org/10.1136/sextrans-2020-054862

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    Footnotes

    • Handling editor Anna Maria Geretti

    • Contributors This paper was written by YW. YW and AS treated the patients. IN and HW wrote parts of the manuscript and approved the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.