Acute inflammation of the tonsils, pharynx
Angina – Elite Treatment in Europe
ENT Diseases -2005
Angina – is a common acute infectious disease which affects the local acute inflammation of the tonsils limfadenoidnuyu different tissue of the pharynx. More likely to have angina of the tonsils, so accepted in medical practice, the term "angina" to mean sore throat tonsils. Among adults, angina occurs in 4-5% of cases, and children – at 6%.
Angina can cause complications such as:
- nonspecific infectious polyarthritis
It can move in chronic tonsillitis. Among the variety of potential microbial pathogens angina – cocci, bacilli, viruses, spirochetes, fungi, etc. – in most cases the main role belongs to the beta-hemolytic streptococcus group A. The penetration of exogenous pathogen in the mucous membrane of the tonsils can be airborne and alimentary infections, and well as by direct contact, but often the disease is caused by auto-infection by microbes or viruses, which vegetate on the mucosa of the pharynx were normal.
There are the following forms of angina:
- I – Bluetongue
- II – follicular
- III – lacunary
- IV – fibrinous
- V – herpetic
- VI – abscess (intratozillyarny abscess)
- VII – necrotizing (gangrenous)
- VIII – mixed forms.
The most common vulgaris (common, banal) angina: Bluetongue, lacunar, follicular, fibrinous, and abscess.
Catarrhal sore throat begins acutely, appears in the throat burning sensation of dryness, sore, and after that a little pain when swallowing. Concerned about the general malaise, fatigue headache. The temperature is usually low-grade. Faringoskopicheski tonsils hyperemic, slightly increased in some places may be coated with a thin film of muco-purulent exudate. Tongue dry, coated. Often there is a slight increase in regional lymph nodes. The infection usually lasts 3-5 days.
Follicular tonsillitis begins with raising body temperature to 38-39 C. Immediately there is a strong pain in my throat when swallowing, often radiating to the ear. Depending on the intoxication of a headache, back pain, fever, chills, general weakness. In the blood – neutrophilic leukocytosis, eosinophilia, elevated erythrocyte sedimentation rate. As a rule, enlarged lymph nodes, painful to palpation, can be enlarged spleen. Children may be vomiting, meningism phenomenon, dizziness diarrhea. There is hyperemia of the soft palate, tonsils, which are visible on the surface of numerous round, some towering yellow or yellowish-white dots. The duration of illness 5-7 days.
Lacunar angina occurs with the same symptoms as the follicular, but it is more difficult. With her background surface hyperemic enlarged tonsils appear yellowish-white attacks. The duration of the disease 5-7 days. In some cases, follicular or lacunar tonsillitis can develop the type of fibrinous angina, when the basis for the formation of the film are festering burst follicles or in lacunar angina fibrinous film extends from the region of the epithelium in the mouths of necrotisation gaps.
Quinsy is quite rare. Its occurrence is associated with the suppurative tonsil melting plot. Defeat is usually unilateral. Hyperemic tonsils, enlarged, its surface is strained, its surface is painful.
Herpetic angina occurs more often in children. Its causative agent is coxsackie virus A. The disease is distinguished by a high contagious, is transmitted by airborne droplets and rarely fecal-oral route. Herpangina begins acutely, there is fever, the temperature rises to 38-40 C, there are pains in the throat when swallowing, headache, muscle pain in the abdomen may be vomiting and diarrhea. In the soft palate, uvula, the palate shackle, on the tonsils and posterior pharyngeal wall can be seen a small reddish blisters. After 3-4 days the bubbles burst, or dissolve, the mucous membrane becomes normal.
Necrotizing tonsillitis Simanovsky-Vincent. The causative agent of a sore throat feel symbiosis fusiform bacilli and spirochetes of oral cavity, often vegetate in the oral cavity in healthy people. Morphological changes are characterized by necrosis zevnoy surface of one tonsil with the formation of ulcers. Complaints about the feeling of embarrassment and a foreign body swallowing, putrid odor from mouth, increased salivation. Body temperature is usually normal. In the blood of a moderate leukocytosis. Regional lymph nodes are enlarged on the affected side. Duration of illness from 1 to 3 weeks, and sometimes lasts for several months
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