How to treat high rheumatic anti-O levels

Feb 25, 2023 Source: Cainiu Health
Dr. Liu Aihua
Introduction
Elevated anti-streptolysin O (ASO) levels are generally caused by conditions such as tonsillitis, rheumatic arthritis, chronic pharyngitis, pericarditis, or acute glomerulonephritis. Since the underlying causes vary, treatment approaches differ accordingly. In summary, there are many possible reasons for elevated ASO levels; therefore, upon experiencing the aforementioned conditions, it is recommended to cooperate with a physician for further examinations and receive appropriate, targeted treatment.

Elevated rheumatoid factor anti-O levels are generally caused by conditions such as tonsillitis, rheumatic arthritis, chronic pharyngitis, pericarditis, and acute glomerulonephritis. Because the underlying causes vary, treatment methods differ accordingly. A detailed analysis is as follows:

1. Tonsillitis

This is usually caused by pathogenic infections, such as Staphylococcus or influenza virus, leading to symptoms including loss of appetite, sore throat, difficulty swallowing, and a foreign body sensation in the throat. As the number of pathogens increases in the body, the level of anti-streptolysin O (ASO) rises accordingly. Treatment should follow medical advice and may include medications such as amoxicillin capsules, cefixime capsules, and ribavirin granules.

2. Rheumatic Arthritis

This condition is primarily caused by infection with group A beta-hemolytic streptococcus. The disease can disrupt normal metabolism, resulting in progressively elevated anti-streptolysin O levels. It is also accompanied by symptoms such as joint swelling, pain, and limited mobility. Under medical guidance, medications such as enteric-coated aspirin tablets, ibuprofen sustained-release capsules, and acetaminophen tablets may be used for treatment.

3. Chronic Pharyngitis

This may result from long-term smoking or alcohol consumption. Under medical supervision, treatments may include traditional Chinese medicines such as Pudilan anti-inflammatory tablets, Ganju Bingmei tablets, or pharyngitis tablets.

4. Pericarditis

This may be caused by bacterial or viral infections, or possibly by Mycobacterium tuberculosis. Symptoms include chest pain, shortness of breath, and palpitations. When myocardial tissue is damaged, excretion of anti-streptolysin O may be impaired, causing elevated levels. Treatment should follow medical instructions and may include medications such as cefuroxime axetil tablets, ganciclovir capsules, and rifampicin capsules.

5. Acute Glomerulonephritis

This is typically triggered by acute streptococcal infection. Following infection, antibodies against streptolysin O are produced, leading to elevated anti-O titers. Symptoms may include increased urine output and resolution of edema. Under medical guidance, antibiotic therapy such as injectable penicillin sodium or injectable ceftriaxone sodium may be administered.

In summary, there are many potential causes of elevated anti-O levels. Therefore, upon noticing any of the above conditions, it is recommended to cooperate with a physician for further evaluation and receive appropriate, targeted treatment.

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