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Angina is a type of tonsillitis, and it is characterized by acute inflammatory processes occurring in the tonsils. Such an insidious disease does not tolerate negligence in treatment, as it is fraught with complications: heart disease, rheumatism, arthritis and others.
The disease has two ways of transmission: airborne and food (when dirty dishes are used, or unwashed food is consumed). But most often, angina begins as a result of infection of the oral cavity or pharynx. The cause is purulent ailments of the nose and paranasal sinuses.
In the development of angina, an important role is played by temperature fluctuations, a profession in hazardous production, environmental pollution, and unfavorable environmental conditions. Angina can be the result of such ailments as influenza, whooping cough, diphtheria and some diseases of the circulatory system.
It is necessary to figure out how to prevent angina, and also what to do at the initial stage of the disease, what treatment will help to cope with the problem?
In the vast majority of cases, angina affects young children, adolescents, and adults aged 35-40 years. Regardless of the age group of the patient, the clinical picture will be the same for everyone.
How do I know if I have angina? Painful sensations appear on the rise. As soon as the sore throat begins, the pain is weak, and practically does not cause discomfort to the patient.
But already on the second or third day, the pain syndrome becomes pronounced and sharp, while being quite strong. Particularly painful sensations manifest themselves when swallowing. As a rule, angina is characterized by a high temperature of up to 39 degrees. In some situations, subfebrile body temperature may be maintained.
When establishing a diagnosis, care must be taken, since the clinical picture of tonsillitis is similar to many diseases. For example, with whooping cough, influenza, scarlet fever, pharyngitis, laryngitis and others.
The initial stage of angina is characterized by the following symptoms:
When it is possible to diagnose such symptoms in time, the therapy will last no longer than one week. With an advanced stage of the disease or its relapses, it will be much more difficult to cope with the disease.
Since advanced forms of the disease sometimes require inpatient treatment under the supervision of the attending physician, as well as the use of serious drug therapy.
It should be said right away that if the patient only has suspicions of the development of tonsillitis, then it is necessary to exclude smoking and drinking alcoholic beverages.
If the patient does not give up an active lifestyle, then the weakened body begins to spend its energy also on the "ebullient" activity of the patient, instead of fighting infectious processes. As a result, this will lead to the progression of the disease, and a deterioration in the well-being of the person as a whole.
It is necessary to exclude from the diet foods that irritate the mucous membrane of the throat and larynx. These include salty, spicy and smoked foods, too cold or hot foods, as well as strong foods: crackers and so on.
What else can not be done with angina:
If you start tonsillitis, or move it on your feet without appropriate therapy, the disease can lead to rheumatism, arthritis and heart disease. In the vast majority of cases, the consequences of the disease affect the heart muscle, since it is minimally protected.
Against the background of a rheumatic attack, heart valves will suffer. And over time, this picture can lead to disability or death.
Rarely, angina can give complications to auditory perception, as a result of which there is pain in the ears, stuffy ears, and hearing loss.
Many patients are interested in what to do with angina? It should be noted right away that at the first symptoms of the disease, bed rest is immediately recommended. To remove toxins, you need to drink plenty of water: warm milk, juice, mineral liquid, tea with honey, jam.
Conservative treatment involves the appointment of antibacterial, anti-inflammatory and antipyretic therapy. The drug, its dose and frequency of administration are recommended on an individual basis, and are determined solely by the doctor. The choice of medication is based on the type of pathogen that caused the disease.
The first help at home, if a sore throat has begun, will be gargling. You need to do it up to 8 times a day. It helps clear the throat of pus, waste products of bacteria, food particles.
You can rinse with the following solutions:
It happens that already on the 3rd day the patient begins to feel good and quits the treatment. But it is strictly forbidden to do this, since the inflammatory process has not ended, and the body is still weakened. It is necessary to give your body time to recover for several days in order to avoid possible complications.
If a sore throat in a small child, then you can use sparing methods of therapy. To do this, add a few drops of calendula pharmacy tincture to 120 ml of water, and gargle for 1 minute.
Angina is not always an independent disease, as it often acts as a sign of other infectious diseases - diphtheria, scarlet fever, blood pathology. Therefore, at home, it is not always possible to correctly differentiate the disease, which leads to unsuccessful treatment and oppression of the situation. The video in this article will clearly demonstrate what a sore throat is and what to do with it.
Angina is a type of tonsillitis. This is an insidious disease that does not tolerate negligence in treatment. The causes of angina include the presence of problems with related organs, so regular visits to the ENT will help to neutralize them in time.
The disease affects both adults and children. And some people get angina constantly, several times a year. There are several recommendations for its treatment. However, in order to completely get rid of the symptoms of the disease and consolidate the result for a long time, many factors should be taken into account.
Most often, angina affects children, adolescents, and adults up to 35-40 years of age. Symptoms in all age categories of patients are the same. First of all, it is a sore throat. The pain appears on the rise. On the first day, it is weak and almost does not bother the patient, but on the second or third day the pain becomes sharp and quite strong. It is especially felt when swallowing.
Also, angina is characterized by the following symptoms:
Children are more likely than adults to experience symptoms such as nausea, vomiting, and.
If you start treatment at the first sign of a sore throat, then it usually lasts no longer than a week. In advanced situations or relapses, it is already more difficult to cure the disease. This may require the use of more serious medications and a hospital stay. Therefore, as soon as you notice that the lymph node has become inflamed or you have a sore throat, hurry to the doctor, make an appointment with a qualified ENT and get a free consultation on the website lor-ent.ru.
A sore throat is not to be endured. Any rinses recommended for sore throats, inhalations and compresses help. From severe pain, a solution of table salt with soda and iodine will help. If frequent rinsing is not possible, chew anise seeds. They are also good for pain relief. At home, you can make a decoction of burdock roots, an infusion of aloe or marshmallow roots.
Treatment for angina is traditionally prescribed using a complex of drugs. These include antihistamines, anti-inflammatory drugs that reduce pain and swelling of the throat. These include nurofen, paracetamol, tavegil, mefenamic acid, claritin, etc.
With severe angina, antibiotics are used: amoxiclav, augmentin, cefuroxime, cefatoxime, azithromycin, macropen, etc.
In the event of complications and intoxication, courses are prescribed with the use of glucocorticoid hormones (hydrocortisone, dexamethasone), as well as infusion-detox therapy.
With purulent tonsillitis, the tonsils do not just increase. A purulent plaque appears on them. At the same time, rinsing with sea water, beetroot juice, diluted lemon juice is recommended. You can also use various herbal preparations, previously infused in boiling water.
If you decide to be treated at home, then carefully read the recommendations. As folk remedies, you can use:
If a sore throat struck your body for the first time, you should know that neglect of its treatment is unacceptable. In this case, the likelihood of complications in vital organs increases several times. Therefore, when you have a sore throat again after undergoing treatment, immediately consult a doctor.
Another reason for an immediate visit to a specialist if a sore throat occurred during pregnancy. During this period, the child in the womb and his mother's immunity is rather weak, which can be fraught with all sorts of complications.
Inhalations are recommended for those who have no temperature with angina. For their preparation, decoctions of chamomile, eucalyptus, oregano, calendula are used. You can use soda, chlorphilipt, chlorhexidine. You can add iodine and soda to boiled potatoes, then you will also get an antimicrobial agent.
Compresses, as a folk remedy, are very effective for angina. They are applied to the neck area, not including the thyroid area. You can apply the following compresses:
The disease threatens with serious complications
Many people had to deal with tonsillitis (tonsillitis). This is an infectious disease, sometimes causing various complications in the human body - with angina, one cannot be careless.
The infection affects the tonsils. It manifests itself as an independent disease, and may be a sign of other ailments: diphtheria, scarlet fever, leukemia. Therefore, it is very important to make the correct diagnosis.
Young children and adults under the age of 40 are more likely to be affected by this disease. People with unfavorable working conditions, residents of large cities with a strong polluted atmosphere.
Persons with pathology in the nasopharynx, difficulty breathing. There is a high risk of hypothermia, malnutrition and malnutrition.
What causes angina? Viruses, bacteria, rods, fungi of the genus "candida". Ways of infection are chronic inflammation of the oral cavity and nasopharynx, food and airborne types of infection. The most common is bacterial tonsillitis caused by streptococci.
There are symptoms that make it possible to identify the disease at the first stage.
All these signs are characteristic of the initial (catarrhal) stage of the disease. The course is mild, timely treatment predicts a positive result. The duration of the course is three to five days.
The more severe stage is the follicular stage. The main symptom is the formation of purulent foci on the tonsil follicles. General intoxication is more pronounced, in contrast to the initial stage. High fever, up to vomiting. Analyzes show changes in blood counts. Inflamed lymph nodes.
In a neglected state, there are more severe forms of the disease than catarrhal and follicular. Why is tonsillitis dangerous, what complications do people who have had the disease have? They are of two types: general (organ damage occurs), local (a certain area is damaged).
Most of all, the consequences affect the heart and joints. These are the most defenseless organs, to which the disease first of all draws attention. Rheumatism, inflammation of the heart muscles can be the result of a sore throat.
With rheumatism (an inflammatory process of connective tissues throughout the human body), heart valves are damaged. After a certain time, a person can become disabled, death is possible. Often children between the ages of five and fifteen are affected, but adults are also at risk.
The deterioration, which is called a rheumatic attack, does not appear immediately after the symptoms of the disease subside, but after a few months. Signs: fever, joint pain, their increase. Some patients suffer from seizures. A rash may appear on the skin of the face.
With myocarditis (damage to the heart muscle), the main symptoms are: pain in the region of the heart, the appearance of shortness of breath, weakness, and malaise. There is a violation of the heart rhythm of different types, noises appear. Such dysfunctions threaten the formation of blood clots, which will spread through the blood vessels, close the gaps of the arteries. This leads to tissue necrosis in other organs.
Critical organs at risk
Endocarditis (inner lining of the heart). With a complication of the endocardium, the first signs may appear after two weeks: internal and external bleeding, rash formation, fever rises, heart failure develops.
The next stage is swelling, swelling of the fingers. The pain in the heart does not appear immediately. It varies in nature and flow. If the diagnosis is not made in time, the kidneys and brain are affected. At best, with such complications, you can remain disabled, at worst - go to another world.
Pericarditis (damage to the heart sac, or pericardium). It happens dry and exudative (with effusion of fluid into the pericardium).
The kidneys are another vulnerable spot affected by tonsillitis. The lesion process occurs quite quickly, within two weeks. Disease of the kidneys and renal pelvis needs long-term treatment under medical supervision, kidney problems must be taken seriously. Therefore, it is important not to miss the symptoms characteristic of their disease.
The appearance of edema, increased blood pressure, malaise, weakness, headache, discoloration of urine. Pain in the lumbar region, there is a temperature. There is frequent urination. Complicate the situation can stones in the kidneys or bladder.
Appendicitis is one of the possible complications.
Appendicitis is sometimes associated with angina. This is the ability of the body to fight infection. The appendix zone takes on some of the impact, but cannot fully cope. The result is acute appendicitis.
A very serious complication is sepsis or blood poisoning. Its appearance can be expected at any stage of the disease. Even in a person who is in remission. There is a very sharp jump in temperature, an increase in blood pressure. Lymph nodes quickly increase, severe shortness of breath, rapid breathing begins. In different organs, pustular foci are formed. It needs urgent hospitalization in the intensive care unit.
It is important to catch the first symptoms of angina and prevent complications. If this happens, contact your doctor immediately. There are several serious types of conditions that can be characterized as critical.
An abscess (a cavity filled with pus) forms in the tonsils. Signs: general intoxication, temperature, sore throat, swollen lymph nodes. In this case, an autopsy is necessary. Then treatment is given.
Phlegmon - unlimited purulent inflammation of soft tissues. There is damage to muscles, fiber, tendons. The neck is red and swollen, painful to the touch. There is a temperature, headache. In severe cases, it must be opened.
Inflammation of the middle ear
Swelling of the larynx is fatal. When edema appears, the patient becomes "barking", hoarse voice. At first it is difficult to inhale, then exhale. Oxygen starvation causes blue skin, it becomes difficult to breathe. Man is subject to panic, fear of death.
Otitis or inflammation of the middle ear. Symptoms: ear pain, which can radiate to the teeth and temples, weakness, fever, malaise.
Possible hearing loss, tinnitus. In the acute stage, pus forms, pressing on the membrane. If there is no breakthrough of pus, it threatens the formation of adhesions and hearing loss. In the blood, the erythrocyte sedimentation rate is increased, which indicates inflammation in the human body.
Bleeding of the tonsils occurs when there are ulcers on them. If such bleeding occurs, the patient must be urgently hospitalized. Appropriate treatment is carried out in the hospital.
Purulent tonsillitis is one of the most frequently diagnosed diseases. Most often occurs in childhood. In medicine, it is called tonsillitis. It is characterized by the appearance of purulent plaque on the mucous membrane of the throat. If left untreated, it develops into a chronic form.
Most often, purulent tonsillitis is caused by streptococci.
Angina is an infectious disease caused by group A streptococci. Also, staphylococci and pneumococci can become pathogens of the pathological process. Infection occurs through contact with sick people.
On the surface of the mucous membrane of the tonsils there are always various microbes. In a normal state of immunity, they do not cause an inflammatory process. The activation of microorganisms and their rapid spread can be triggered by various factors:
In these cases, the body's immunity is significantly reduced, which leads to inflammation of the tonsils. When the disease is advanced, pathogenic microorganisms penetrate deep into and cause angina.
Infection usually occurs by airborne droplets.
The purulent form has several varieties. Depending on the nature of the manifestation, there are:
The acute form begins rapidly, the symptoms are pronounced. Chronic is the result of an already transferred disease. It is manifested by common signs, the inflammatory process proceeds sluggishly. It is characterized by periods of exacerbation and remission.
All signs of pathology can have varying degrees of severity, depending on the nature of the course and the form of angina. An increase in body temperature is not always observed with the development of an inflammatory process in the tonsils. The main symptoms in this case will be sore throat, swelling of the mucous membrane of the tonsils and the appearance of pustules or plaque on them.
Purulent foci are localized on the palatine tonsils
Most often, purulent tonsillitis is accompanied by the following symptoms:
Purulent formations and plaque on the mucous membrane of the tonsils. They are removed without difficulty with a medical spatula. At the same time, they do not injure the mucous membrane.
The incubation period is short and ranges from 2 to 5 days.
All symptoms develop rapidly. You can recognize the beginning of the spread of the inflammatory process by the appearance of chills, which is quickly replaced by fever. A feature of purulent tonsillitis is soreness in the throat, which grows and begins with discomfort.
It is necessary to start treatment of the disease immediately after the first symptoms appear. This is the only way to avoid the development of complications and reduce the period of therapy.
Lack of treatment can lead to the development of serious complications. They may be local or general.
Running purulent tonsillitis can cause acute paratonsillitis
Common complications include:
Local complications include:
The danger of purulent tonsillitis lies in its consequences. That is why when the first signs of the disease appear, you should immediately contact a specialist.
Medical therapy consists of antibiotics
Treatment of a purulent sore throat should be carried out with the help of antibiotics and other groups of drugs.
When diagnosing a disease, semi-synthetic aminopenicillins, such as Amoxiclav or Augmentin, are prescribed. 2nd or 3rd generation cephalosporins may also be used.
The most effective are Ceftriaxone and Cefotaxime. If the patient is allergic to the components of drugs from the penicillin group, macrolides are indicated. The reception of "Azithromycin" or "Macropen" is shown.
Also, when establishing a purulent form of angina, the following are prescribed:
It is strictly forbidden to postpone treatment with the development of purulent tonsillitis. It is also not recommended to use traditional medicine methods without consulting a doctor. Self-medication or lack of therapy can lead to the development of serious consequences or the transformation of the disease into a chronic form.
Propolis is a useful and effective remedy for sore throats
When diagnosing a purulent form of angina, treatment can be carried out at home with the help of traditional medicine. Methods and prescriptions should be used only after consulting a doctor.
The most popular and effective means are:
Alternative recipes are used only to relieve symptoms. It is impossible to cure purulent tonsillitis with their help. Use methods of therapy after stopping the acute stage.
Gargle with a decoction of chamomile flowers
Patients suffering from purulent tonsillitis are recommended to gargle with solutions that have an antiseptic effect. Most often, "Furacilin" or "Givalex" is prescribed. Gargle about 6 times a day for several minutes. You can also use sprays such as Ingalipt or Hexoral.
The gargling procedure can be carried out using the following means:
Gargling with regular procedures helps relieve sore throat and avoid the development of various complications.
In the initial stages of development, angina is successfully treated with heating. It can be a compressor or inhalation. But with the transition of the inflammatory process into a purulent form, an increase in body temperature is observed. At the same time, warming procedures are strictly prohibited.
Contraindications to inhalation or compresses include:
Putting compresses with purulent sore throat is prohibited!
In order to exclude the occurrence of complications, it is necessary to follow a number of rules. With purulent sore throat is prohibited:
Also, when establishing a sore throat of a purulent form, patients are advised to observe bed rest and rest. It is necessary to take sick leave and not engage in excessive physical exertion.
Purulent tonsillitis is not a serious enough disease, but can cause the development of life-threatening and health consequences. That is why the disease is best prevented than treated.
More folk recipes for angina can be found in the video:
Purulent tonsillitis with timely therapy passes without a trace. But the lack of treatment can lead to the development of serious and dangerous consequences. That is why it is necessary to take care of your throat and contact a specialist when the first signs appear. Self-medication also will not bring positive results.
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Angina can rightly be called one of the fairly common diseases that affect adults. The causative agents of this infectious disease are staphylococci, streptococci, pneumococci and adenoviruses, the main "blow" of which always falls on the tonsils.
Depending on the specifics of tissue damage, angina is divided into catarrhal, necrosis, purulent, herpetic.
Each of these varieties has similar symptoms, but differs in some features, including methods of treatment. The peaks of angina usually occur in autumn and spring - seasons characterized by high humidity.
According to the classification, there is no such thing as purulent tonsillitis. Tonsillitis (tonsillitis), according to the classification of Soldatenk I. B., is divided into:
Purulent tonsillitis primarily implies acute tonsillitis (lacunar or follicular forms). This is due to the fact that when examining the tonsils, purulent films can be seen on their surface, as well as liquid pus in the lacunae of the tonsils.
There are 3 forms of this disease:
How to treat purulent tonsillitis in an adult will directly depend on the symptoms and form of the disease.
Purulent tonsillitis in the vast majority of cases is an infectious disease caused by group A β-hemolytic streptococcus. This pathogen is found in approximately 60-80% of cases of purulent tonsillitis. Most experts still tend to attribute angina to streptococcal infectious diseases. However, the possibility of purulent tonsillitis of staphylococcal and pneumococcal origin is not excluded. There are also descriptions of listerella angina etiology.
The source of infection is patients with angina or healthy people carrying streptococci. Is purulent tonsillitis contagious? Of course, yes, if you do not follow the rules of hygiene and do not wear a protective bandage when in contact with the sick.
In special depressions of the palatine tonsils (lacunae) there are always microbes. With normal immunity, they do not cause disease. However, there are a number of factors that cause the launch of the infectious process a:
In these cases, the defenses of the whole organism are reduced and, above all, this occurs in the tonsils. When the process is started, the pathogenic microflora penetrates deep into the tonsils, causing their acute inflammation - tonsillitis. How to treat this disease and whether antibiotics are needed for this, we will consider a little lower.
In the case of purulent tonsillitis, symptoms in adults may have varying degrees of severity, depending on the form and neglect of the infectious process. Also, angina is able to proceed without a significant rise in temperature. In this case, the main and defining signs are sore throat, a change in the appearance of the tonsils: redness, swelling of the mucous membrane, pustules and plaque on the tonsils.
However, most often purulent tonsillitis in adults is characterized by the following symptoms (see photo):
The incubation period of purulent tonsillitis can be from 2 to 5 days. Signs of the disease appear quickly enough, and one of the first signs, as a rule, is chills, followed by intense heat. A characteristic feature is that the soreness in the throat area gradually increases, starting to disturb from a simple feeling of discomfort to severe pain associated or not associated with swallowing.
Treatment of the purulent form of the disease lends itself to a rule common to all ailments: the sooner it is started, the sooner recovery will come and the less complication will be. That is why, in order to quickly cure purulent tonsillitis, measures must be taken when its first signs appear.
What purulent tonsillitis looks like, we offer detailed photos for viewing.
Purulent tonsillitis is dangerous for its complications, which can be both late and early.
Early ones include:
Later may develop:
The prognosis for timely and high-quality treatment of the disease is favorable.
With purulent tonsillitis, it is extremely important to start treatment in a timely manner in order to avoid possible complications in the form of phlegmon and abscesses in the neck, pathologies of the cardiovascular system, diseases of the kidneys and joints.
An approximate treatment regimen for angina in adults is as follows:
Remember that if you run a sore throat, you can get very serious complications.
Patients are advised to gargle with special antiseptic solutions. For these purposes, a solution of furacilin, givalex is suitable. The procedure should be carried out up to 5-6 times a day for several minutes. You can also use sprays of identical composition: hexoral, ingalipt, tantum verde.
A couple of popular ways:
Gargling will help relieve sore throat.
Most often, experts prescribe penicillin drugs. They are perfectly absorbed in the body, have pronounced bacteriostatic and bactericidal characteristics.
Patients are prescribed the semi-synthetic antibiotic Amoxicillin, an antibiotic from the cephalosporin group Cefalexin, Sumamed, Cefazamin, or drugs from the macrolide group can be prescribed. Clindamycin, Phenoxymethylpenicillin, Erythromycin are also used for treatment.
Only a doctor should choose the appropriate drug, prescribe the dosage and duration of administration. It is important to complete the course of antibiotic treatment to the end, even if the symptoms of the disease have significantly decreased.
With an established streptococcal infection of the tonsils, the treatment of purulent tonsillitis at home must necessarily include antibiotic therapy. The doctor prescribes the drug and its dose.
Folk recipes can only be used to relieve symptoms; they are not able to cure a sore throat.
There is no specific prevention of acute tonsillitis.
To prevent the disease, you should pay maximum attention to your own health: eat rationally, have a good rest, lead an active lifestyle. Timely diagnosis and rehabilitation of foci of chronic infection in the body, as well as hardening, are important.
Purulent tonsillitis is a name that combines two purulent forms of tonsillitis (acute tonsillitis) - follicular and lacunar. These forms of angina have a similar general and local course, one patient may have signs of both forms of angina at the same time. Often the pathological process occurs in the palatine tonsils, in more rare cases, the lingual, nasopharyngeal and laryngeal tonsils are affected.
Most often, purulent tonsillitis is diagnosed in children of preschool and primary school age. In children under 5 years of age, as well as in adults, viruses often act as an infectious agent; in the age group of 5–15 years, purulent tonsillitis of bacterial etiology is more often observed.
Infectious agents are able to penetrate into the tissue of the tonsils exogenously (from a sick person by airborne droplets, household or alimentary routes) or endogenously (from carious teeth, with acute respiratory infections, and other infectious processes in the body). In people with weakened immune systems, the disease can be caused by opportunistic microorganisms that are constantly present on the mucous membrane of the oral cavity or pharynx and do not provoke inflammation under normal conditions.
Risk factors for the development of purulent tonsillitis include:
In total, according to the nature of the inflammatory process, 4 forms of tonsillitis are distinguished, one of which is purulent:
A rare but dangerous complication of purulent tonsillitis can be severe swelling of the tonsils, up to the development of suffocation (including in sleep).
Purulent tonsillitis, in turn, can be follicular (mainly the follicles of the tonsils are affected, purulent islands are found on the tonsils, as well as purulent plaque on the mucous membrane of the tonsils, which is released from the follicles) and lacunar (accumulation of pus in the lacunae of the tonsils is characteristic).
Depending on the localization of the pathological process, angina can be unilateral (rarely, usually only at the beginning of the disease, later the process spreads to both sides) and bilateral.
The incubation period lasts from 12 hours to three days. The disease debuts acutely, with an increase in temperature to febrile values - 39-40 ˚С, chills, headache, weakness, aching muscles and joints appear. There is a sharp pain in the throat, aggravated by swallowing and during a conversation, the cervical lymph nodes are enlarged, painful on palpation. The palatine tonsils and adjacent tissues are hyperemic and edematous, in some cases the edema is so significant that it makes breathing difficult.
A common sign of purulent tonsillitis in the follicular form are areas of purulent fusion on the surface of the tonsils, which look like white or yellowish bubbles, which, in combination with a hyperemic tonsil, provides a characteristic symptom of the "starry sky". With the lacunar form, pus is located in the mouths of the lacunae of the palatine tonsils, having the form of whitish-yellow films or stripes that can extend beyond the lacunae. Both with lacunar and follicular forms, the plaque is easily removed, without the appearance of a bleeding surface under it - this symptom distinguishes purulent tonsillitis from other forms of the disease similar to it.
Purulent tonsillitis in children has a rapid course. The disease begins with a sharp rise in temperature (up to 40 ˚С), the child becomes capricious and drowsy, refuses to eat and drink due to perspiration and severe sore throat. Regional lymph nodes increase, tachycardia often develops. In some cases, with purulent tonsillitis in children, there is such a pronounced swelling of the tonsils that they begin to put pressure on the Eustachian tubes, causing stuffy ears and noise in them, and sometimes the spread of the infectious process to the ear.
To make a diagnosis of purulent tonsillitis, an anamnesis and patient complaints are collected, as well as pharyngoscopy. As a rule, this is enough to make a diagnosis. If necessary, a general analysis of blood and urine is carried out, as well as a bacteriological study with an antibiogram of a swab from the pharynx. In the general analysis of blood, an increase in the number of leukocytes with a shift of the leukocyte formula to the left is noted. The erythrocyte sedimentation rate increases, reaching 40-50 mm/h (normal 1-15 mm/h). In some cases, to identify an infectious agent, a serological blood test and the determination of the pathogen's DNA by the polymerase chain reaction method are necessary.
Differential diagnosis with diphtheria, infectious mononucleosis is necessary.
Most often, purulent tonsillitis is diagnosed in children of preschool and primary school age.
Treatment of purulent tonsillitis is usually carried out at home, hospitalization is indicated only in severe cases and for children under 3 years of age. The main method of treatment is antibiotic therapy, with the correct selection of the drug and dosage, the patient's condition improves already on the second day from the start of administration, however, the course of antibiotic therapy must be fully completed in order to avoid the development of antibiotic-resistant forms of microflora, as well as the occurrence of complications. Since there is a need for an urgent start of treatment, broad-spectrum antibiotics are usually used.
With a significant increase in temperature, antipyretics are used (the need for them, as a rule, occurs only in the first 1-3 days). General therapy is supplemented by frequent gargles with antiseptic solutions and decoctions of medicinal herbs, which make it possible to remove pus from the mucous membrane of the oral cavity and pharynx. In addition to rinsing, topical medications in the form of sprays can be prescribed (irrigation with sprays in the treatment of purulent sore throat has replaced the previously used lubrication, as it is more convenient and less painful).
While the elevated body temperature persists, patients require strict bed rest. A sparing diet and plenty of fluids are shown. During the period of the most acute manifestations, refusal to eat is acceptable, but an intensive drinking regimen is required.
Sometimes abundant liquid pus, localized in the mouths of the lacunae of the palatine tonsils, is poorly removed by rinsing. In this case, washing the tonsils, which is performed by an otorhinolaryngologist, can provide a positive effect.
Against the background of purulent tonsillitis, early and / or late complications may develop. Early complications are due to the spread of the infectious-inflammatory process to nearby organs and tissues: sinusitis, otitis media, purulent inflammation of the lymph nodes, inflammation of the mediastinal tissue (mediastinitis), paratonsillar abscess. A rare but dangerous complication of purulent tonsillitis can be severe swelling of the tonsils, up to the development of suffocation (including in sleep).
Late complications develop 3-4 weeks after the onset of the disease. These include glomerulonephritis, renal failure, myocarditis, septic arthritis, acute rheumatic fever, rheumatic joint disease, sepsis.
In the case of frequent recurrences of purulent tonsillitis, inflammation becomes chronic, chronic tonsillitis develops. The constant presence of an infectious agent in the tonsils leads to its entry into the bloodstream, and with the blood flow it spreads to other organs and systems. To prevent the development of complications, as well as in the absence of a positive effect from conservative therapy, it is recommended to remove pathologically altered tonsils. Surgical treatment is not indicated for patients with heart defects (grades 2 and 3), severe forms of diabetes mellitus, and hemophilia.
With timely diagnosis and adequate treatment, the prognosis is favorable. In the case of complications, as well as with frequently recurring purulent tonsillitis, the prognosis worsens.
In order to prevent the development of purulent tonsillitis, it is recommended:
Angina (acute tonsillitis)- This is an acute infectious-allergic disease, which is accompanied by inflammation of the palatine tonsils. Its causative agent is group A hemolytic streptococcus.
The infectious agent can be transmitted by airborne droplets, through food and drink, with direct contact. Angina can be caused by hypothermia, especially during cold and damp weather in autumn and spring. In addition, angina can be one of the manifestations of such complex diseases as diphtheria, scarlet fever, influenza, whooping cough, as well as some blood diseases.
Symptoms of angina are probably known to everyone: fever up to 39-40 ° C, sore throat, especially when swallowing, redness of the pharyngeal mucosa. On examination, one can see enlarged, palatine tonsils covered with plaque. Joint pain can also be a sign of the disease. With a favorable course of the disease and its proper treatment, inflammatory phenomena disappear within 4-5 days.
In no case should you self-medicate angina! This threatens with such complications as the development of rheumatism, glomerulonephritis, myocarditis. Also, the symptoms of angina can be confused with diphtheria, and this disease threatens the life of the patient.
At the first symptoms of angina, you should consult a doctor, to confirm the diagnosis and prescribe the correct treatment, he may prescribe a bacteriological study of plaque on the tonsils. Treatment of angina is usually outpatient, the severe course of the disease requires hospitalization in the infectious diseases department.
The issue of hospitalization of the patient is decided in each individual case separately and depends on many factors: the patient's condition, living conditions, etc.
But do not think that when the symptoms subside, the disease goes away. This is not true. Angina is formidable with its insidious complications. Therefore, do not neglect treatment and be sure to listen to your doctor.
With angina appoint:
After the subsidence of acute processes, the following physiotherapy is prescribed:
If the disease recurs more than four times a year, they resort to surgery - the removal of the palatine tonsils (tonsillectomy). Also, to remove the tonsils, a cryosurgical method is used, that is, their freezing.
However, it is better to try by all means to avoid recurring sore throats and removal of the tonsils, as they protect our body from getting microbes inside. A modern method has appeared - laser lacunotomy, when, with the help of a laser, areas of the palatine tonsils that have been changed as a result of frequent tonsillitis are removed. The tonsils become smaller, but at the same time they continue to perform their protective functions, the frequency of recurrences of angina decreases.