### What you need to know
A 5 year old girl presents to her GP with a three day history of fever up to 39°C, sore throat, myalgia, headache, lack of appetite, and lethargy. When afebrile, her observations are within normal limits. On examination, both tonsils are red, inflamed, and have exudate. The child’s parents work in healthcare, and have a recent history of sore throats that were not medically treated. A clinical diagnosis of suspected streptococcal pharyngitis is made and a 10 day course of penicillin V prescribed. The child re-presents 48 hours later with persistent fevers and new onset vomiting and diarrhoea. She has managed to take only half of her prescribed doses of penicillin V. On examination, she is tachycardic and has cool peripheries. She has developed a sandpaper rash on her trunk, and her tonsils remain inflamed, with exudate. Her forearm is moderately swollen, and she screams when it is palpated lightly.
Group A beta-haemolytic streptococci (GAS) are Gram posi
Red Coat Farm riders earn awards in Florida competition Lisa Goldman-Smolen, center, in the winner s circle with student Maddi Cardelli and her horse Baal Berith, along with Red Coat crew Isabella Kalvenes, left, and Stefanie Shaw. Courtesy of Marketing4Equestrians
Posted4/12/2021 1:47 PM
Lisa Goldman-Smolen and Mary Goldman of Red Coat Farm in Hawthorn Woods spent three weeks in February competing at the HITS Ocala Winter Circuit with their students and brought home top awards.
Goldman-Smolen is an accomplished grand prix rider, but it was her well-educated students who successfully tackled the grand prix ring this time while she waits for the arrival of her first child, due in April, with husband Darren.