is an infectious process can be considered the common denominator in the pathology of the upper respiratory tract and is characterized by edema and inflammation of the pharynx and tonsils.
is a disease that can affect anyone, regardless of age, sex, race.
is very common in our environment and causes of absenteeism.
can porducirse pharyngitis due to the invasion of a variety of microorganisms such as:
1 - Virus: where it is called: Viral Tonsillopharyngitis and is important to note that 85% of the Tonsillopharyngitis produced are of this type.
2 - Bacteria: Bacterial Faringoamigdalits
3 - Fungi: Fungal Tonsillopharyngitis
Tonsillopharyngitis Viral
-Rhinovirus, Coronavirus
-Coxackievirus
-Influenza
-Parainfluenza-Adenovirus
is a condition in which symptoms persist for 3-4 days, the patient may have a fever early Odynophagia mild anorexia , and is usually accompanied in some cases by rhinitis and conjunctivitis, and stomatitis
Bacterial Tonsillopharyngitis
-S. B-hemolytic streptococci It is the main causal agent of this disease.
-
Staphylococcus aureus, Streptococcus pneumoniae
-Moraxella
catarralis
Symptoms
marked
• Sore throat • Odynophagia
• Fever 39 , 40oC
• Headache, chills
• Abdominal pain • Pharynx bright red
• grayish yellow exudate on the tonsils uvula
• Edema pronounced cervical lymphadenopathy
•
Pathogenesis
-Climate Change.
-virulence of the organism.
-host resistance.
The M protein determines the degree of virulence of bacteria.
are more resistant to phagocytosis.
S. B-hemolytic group A produced extracellular products (Hemolysins O) that antibodies occur in humans are titratable (ASO).
acquired human immunity to streptococcal infection is based on the development of opsonic antibodies against the protein portion antiphagocytic M.
anti-M antibodies are mainly IgG, which appear slowly.
Diagnosis
1-Clinical History
2-Clinical
3-Lab:
Acct. and makes white throat swab
VSG
Title ALSO
Complications
Viral
• Otitis media.
• pharyngeal ulcerations. Bacterial
• retropharyngeal abscess.
• Rheumatic fever.
• glomerulonephritis.
Treatment Tonsillopharyngitis
F. Viral• Rest.
• Analgesics.
• Gargle.
• Anti-inflammatory.
• Vitamin C and decongestants.
F. Bacterial (S. B-hemolytic group A)
• Bacterial Tonsillitis:
- Benzathine penicillin (Benzetacil) 600000unid <> 25 kg
VIM-1 Dose Amoxicillin 15 mg / kg 8hrs.
-Amoxi + clavulanate + sulbactan
-Clindamycin, Erythromycin
-Tonsillectomy.
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