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This winter, gastrointestinal upset is one of the primary symptoms of strep. “The strain of strep that has been seen this winter season seems to have more associated GI symptoms with it than the typical strain,” said Zachary Hoy, M.D., a pediatric infectious disease specialist at Pediatrix® Centennial Hospitalist of Nashville. “There are also still several cases of ‘classic’ or ‘typical’ strep that cause significant sore throat and fever.” Dr. Hoy noted that ‘typical’ strep can sometimes cause abdominal pain with enlarged mesenteric lymph nodes called mesenteric adenitis, which are located in the abdomen. “There has been speculation that this could account for the GI symptoms of vomiting and diarrhea with the strain of strep seen this winter,” explained Dr. Hoy. “The strep strain this winter could also have some toxins produced by the strep bacteria that could trigger more GI symptoms.”
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