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Daughter has Strep throat?

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Crohn's Disease
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73monte
Veteran Member
Joined : Mar 2007
Posts : 2452
Posted Yesterday 2:40 PM (GMT -8)
My Daughter went the Doctor the other day, as she was exhibiting flu like symptoms. We got very concerned of course that it would be Covid-19. The Doctor tested her for Covid, and then thought it would be a good idea to swab for strep. Sure enough, came back negative for Covid, but positive for Strep. Now she's on Amoxicillen for 10 days.

Problem/question is, she has an infusion, (Remicade), in about 2 weeks. I know you can't have an infusion while on antibiotics, but how long after would be acceptable? Any experts on this out there? . Don't want to delay her infusion too long.
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Ides
Forum Moderator
Joined : Nov 2003
Posts : 7200
Posted Yesterday 2:46 PM (GMT -8)
When I used to take Remicade, I was on antibiotics once, and was cleared for an infusion as soon as I finished the antibiotic course.
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straydog
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Joined : Feb 2003
Posts : 19429
Posted Yesterday 3:39 PM (GMT -8)
A couple of different times while on Remicade I was on Biaxin for sinus infections. It was not a problem, they just wanted to make I was not running a temperature. Your daughter should not have a problem.
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minnietoty
Veteran Member
Joined : Dec 2010
Posts : 3073
Posted Yesterday 4:36 PM (GMT -8)
I was on antibiotics several times when my dose was due. That wasn't a problem. Not sure whether it would be ok nowadays or not. Glad that it turned out not to be COVID but sorry that she's sick and might not have her infusion. Last dose, I had Coronavirus symptoms too and my GI insisted on postponing the dose for 2 weeks until all symptoms had cleared. I even asked the infusion doctor to talk him to allow me to take it after the two weeks have passed. I think you need to check with her GI.
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Delta_hippo
Regular Member
Joined : Jun 2019
Posts : 46
Posted 6/6/2020 1:16 PM (GMT -8)
Just to add my 2p worth, my other half had a full on cold a few weeks ago, thought nothing of it, had my vedolizumab infusion, 2 days later came down with the worst cold ever, lingered for ten days when normally I get over stuff like that in 48 hours, it was so bad I thought I’d caught Coronavirus from the infusion centre. So I would say make sure she is fully recovered before the infusion.
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73monte
Veteran Member
Joined : Mar 2007
Posts : 2452
Posted 6/6/2020 3:43 PM (GMT -8)
Thanks for the replies guys,

I would say that even after a few days of antibiotics she's pretty well recovered and functioning normally. She'll still take the full cycle of 10 days/3 times a day of the antibiotic to be sure though. Also been eating yogourt with probiotics just to hopefully offset the chance of a yeast issue.
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soppendeuff
Regular Member
Joined : Jun 2008
Posts : 31
Posted 6/18/2020 1:54 PM (GMT -8)
I had something similar happen to me. I was diagnosed with a bad case of tonsillitis in 2007. I took the antibiotics and thought I was okay enough to get my next dose of Remicade.
I went to the infusion center and the nurse said I looked like I was getting sick (red cheeks) and I had a fever. She called the doc on the phone - he was at home packing for a trip to Mexico. He said to go ahead with the infusion.
Allowing the dose of Remicade was the WORST DECISION I’ve ever gone along with in my life. The infection came back with a vengeance. The immune suppression caused the tonsillitis to come back in such a way that it became life threatening.
I ended up in an emergency room with both tonsils swollen up so big that it was millimeters away from suffocating me (confirmed by MRI).
After loads of steroids, my breathing was no longer compromised, but my tonsils were still HUGE and horribly painful. I was sent to an ENT who said that needed removal immediately - and that I probably had lymphoma. He was wrong about the lymphoma.
After my tonsils came out, the same infection that caused my tonsils to swell up stayed with me for an entire year. This is TMI, but I could see strings of dark green mucous at the back of my throat. I’d look because that infected sinus goo burned my throat like crazy. So for a year, I carried around a flashlight, a small mirror and tweezers to pull the gunk out of my throat. It was disgusting, yet entirely real.
I eventually went off all biologics for a year to get rid of the infection. That worked.
But 6-7 months later, I started to having serious breathing issues. I was diagnosed with bronchiectasis (a form of COPD) and asthma. It’s never been established why that all started at the age of 43 by a non-smoker. But I think that all the infected mucus that I didn’t manually remove went down into my lungs, creating the obstruction that was diagnosed as COPD.
That infection has been gone for 12 years, but my breathing problems persist. I was doing pretty well with the Crohn’s before the tonsillitis explosion, but the breathing trouble changed EVERYTHING. By the start of 2014, I had to leave the job that I loved and worked like crazy to get because I couldn’t function the way I did when Crohn’s was my only problem.
All the above is to say that I would be exceedingly cautious with allowing your daughter to take any biologic until you’re absolutely sure that her strep throat is gone.
I know it seems dramatic to say that taking that dose of Remicade when I had not completely cleared the infection ruined my life. But it did.
Being a little late on the biologic schedule is far more preferable to what happened to me. Good luck.
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73monte
Veteran Member
Joined : Mar 2007
Posts : 2452
Posted 6/18/2020 3:34 PM (GMT -8)
Thanks for the reply soppendeuff,

That's an incredible story. As if IBD isn't enough to deal with. Just wondering, since you had to discontinue biologics for a year, what was your alternative to control your Crohn's symptoms?

My Daughters GI ended up getting involved. Actually severely chastised the infusion center, and has changed everything over to a different company.
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soppendeuff
Regular Member
Joined : Jun 2008
Posts : 31
Posted 6/18/2020 5:36 PM (GMT -8)
I was able to keep trips to the bathroom down to tolerable level with yogurt - specifically Wallaby Low Fat Vanilla. This was in the fall of 2008, so I don’t know if the brand still uses the same recipe - they must’ve had some super probiotics in the mix. Wallaby seems more “corporate” now than it did then, so changes could’ve been made.
The yogurt kept me going for a year - then I descended into a horrible flare. I had to take a month off of work because I could not sit up straight because the pain in my abdomen was so bad. I felt awful.
Looking back, I think I’d been going downhill slowly for months. The decline was imperceptible - until it became obvious.
Although the Wallaby worked for a time at controlling my most obvious symptoms, the “little engine” that powers the Crohn’s inflammation never took a break. I started Humira and the flare faded.
I think it’s a good idea to try the yogurt for help with symptom control. But when it comes to long-term relief, it was a disappointment for me.
Good luck!
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