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Before we begin, study the diagram on the right to learn what structures are being described. The viral pharyngitis is benign processes that resolve spontaneously, unlike bacterial pharyngitis or tonsillitis that can lead to complications such as abscesses and rheumatic fever.
Bacterial and viral tonsillitis The more correct way is by collecting material from throat swabs or swab with a cotton stick on the tip to collect material from the inflamed area for further laboratory evaluation. Despite help from the swab, there is a practical problem: the identification of the infectious agent takes at least 48-72h.
We explain below how to distinguish a viral sore throat from a bacterial pharyngitis by only clinical elements. Having tonsillitis caused by bacteria not present with respiratory symptoms described above, usually causes spots of pus on the tonsils and swollen lymph nodes (glands) in the neck.
The presence of pus and swollen glands in the neck speaks strongly in favor of a bacterial pharyngitis.
Mononucleosis is caused by the Epstein-Barr virus and usually goes with fever, purulent tonsillitis and swollen lymph nodes in the back of the neck (unlike bacterial tonsillitis that has swollen lymph nodes in the anterior neck).
As can be seen, the distinction between viral and bacterial pharyngitis is important, since the treatment is different. Streptococcus pharyngitis Among the complications of bacterial pharyngitis, the main is rheumatic fever, which occurs mainly in children and young people.
The post-streptococcal glomerulonephritis is a kidney injury also caused by the same bacterium Streptococcus. There is a type of psoriasis, called guttate psoriasis, which is related to the Streptococcus pharyngitis. Antibiotics for angina To avoid the complications of bacterial tonsillitis described above, treatment should always be done with antibiotics. Treatment with antibiotics derived from penicillin and amoxicillin (Amoxil) should be done for 10 days.
If the symptoms of a bacterial pharyngitis are very strong, while waiting for the effect of antibiotics anti-inflammatory drugs can be used to relieve the inflammation of the throat. There are no studies that prove the effectiveness of homeopathy or herbal medicine in the treatment of pharyngitis.
Who wants symptomatic relief without taking many drugs, the ideal is to perform various daily gargling with warm water and a pinch of salt. The removal of the tonsils (tonsillectomy) is an option in children who present more than six episodes of strep throat every year. A sore throat caused by bacteria should always be treated with antibiotics (I'll explain why below). The analysis of the collected material by the swab can identify the infectious agent is a bacterium or a virus. Respiratory viral infections do not usually cause symptoms restricted to the pharynx or tonsils. The bacterial pharyngitis can also cause swelling of the uvula and petechiae (bleeding points) on the palate. However, some viral infections such as infectious mononucleosis may also be present with these findings.
Other signs and symptoms are the possible increase in spleen weight loss, and extreme fatigue signals hepatitis. They are skin lesions that arise whenever there is a throat infection, which disappears after the cure.
But you should remember that the anti-inflammatory drugs are only symptomatic, they do not treat the bacterial infection. As the incidence of complications is much lower in adults in this group the indication for tonsillectomy is more controversial, as there is a possibility of no improvement, just making sure the patient had bouts of tonsillitis and possibility to have bouts of pharyngitis, which ultimately is the same. They accumulate caseous (or caseum), a yellowish substance, like pus, which is actually debris of old inflammatory cells. As laboratory tests are now faster to identify bacteria, but it's not always easy to collect and send the material for analysis. Another tip is that the viral pharyngitis, although the throat becomes very inflamed, pus is unusual. The fever of bacterial infection is usually higher than in viral, but this is not a rule, since there are cases of influenza and high fever. If the frame suggests bacterial pharyngitis, we should start antibiotics in order not only to accelerate the healing process, but also to prevent complications and transmission to other family members, especially those with intimate and prolonged contact. In those patients with marked edema of the pharynx, who can not swallow tablets, or those who do not want to take medication for several days, an option is intramuscular injection of benzathinepenicillin, the famous one-time Benzetacil. If the symptoms are very uncomfortable, anti-inflammatory can be used by two or three days.


Physicians might consider that Morgellons and Bartonella are in some way intertwined.??Morgellons sufferers report an array of symptoms happening just under the skin, such as the emergence of fibers and filament clusters, specks, particles and sand shaped granules, yet physicians are unaware of this phenomena because they are not using enlargement devices.
As they are anatomically close, it is very common for the pharynx and tonsils to ignite simultaneously, a framework called tonsillitis. The prescription of antibiotics such as amoxicillin in patients with mononucleosis may lead to the development of allergy with red spots appearing all over the body.
An unaided visual exam using the naked eye is no longer appropriate to an emerging illness involving so many artifacts. Although they ignite together, some people have predominantly tonsillitis, while others, pharyngitis. No one trusts the judgment of a mechanic who refuses to look under the hood of a car. A more thorough approach needs to be taken using equipment such as dermascopes and microscopes, as this is the only way to identify the microscopic fibers that are the defining symptom of Morgellons, and which separates it from all other diseases. Throughout the text I will differentiate the terms pharyngitis and tonsillitis, but what goes for one, also serves to the other.
Using a dermascope can also prevent misdiagnosing diseases that have some similar symptoms, such as Lyme (although some patients may have both). Microscopic enlargement needs to be at minimum 60x-200x in order to see the fibers clearly. As evidenced in the photos in our galleries, there is something clearly wrong with the skin of Morgellons sufferers. Most doctors currently believe that the fibers patients come to see them about are 'textile' in nature. If you take a look at the galleries of fibers in urine, stool, blood, skin, and hair, you will see that these filaments are invading the body systemically and cannot possibly be textile. Click here to view other particles in the skin as well as other unidentified artifacts.?• ?Randy Wymore, Director of OSU-CHS Center for the Investigation of Morgellons Disease and Associate Professor of Pharmacology and Physiology had the fibers analyzed at the Tulsa police department's forensic laboratory.
The Morgellons particles didn't match any of the 800 fibers on their database, nor the 85,000 known organic compounds. For those insisting the CDC study of Morgellons laid down the law for definitive answers about Morgellons, I'd suggest you listen to Doctor Randy Wymore speak more in depth about the study and its inherent flaws and bias. Many clinicians refer to this condition as delusional parasitosis or delusional infestation and consider the filaments to be introduced textile fibers.
In contrast, recent studies indicate that MD is a true somatic illness associated with tickborne infection, that the filaments are keratin and collagen in composition and that they result from proliferation and activation of keratinocytes and fibroblasts in the skin.
Previously, spirochetes have been detected in the dermatological specimens from four MD patients, thus providing evidence of an infectious process. (2013) has revealed the presence of Borrelia in Morgellons lesions in everyone tested.
It is the subject of considerable debate within the medical profession and is often labeled as delusions of parasitosis or dermatitis artefacta. This view is challenged by recent published scientific data put forward between 2011-2013 identifying the filaments found in MD as keratin and collagen based and furthermore associated with spirochetal infection. The novel model of the dermopathy put forward by those authors is further described and, in particular, presented as a dermal manifestation of the multi-system disease complex borreliosis otherwise called Lyme disease.
The requirements for a diagnosis of delusional disorder from a psychiatric perspective are clarified and the psychological or psychiatric co-morbidity that can be found with MD cases is presented. Management of the multisytem disease complex is discussed both in general and from a dermatological perspective. Despite evidence demonstrating that an infectious process is involved and that lesions are not self-inflicted, many medical practitioners continue to claim that this illness is delusional.
We present relevant clinical observations combined with chemical and light microscopic studies of material collected from three patients with Morgellons disease. Our study demonstrates that Morgellons disease is not delusional and that skin lesions with unusual fibers are not self-inflicted or psychogenic. Proliferative stages of bovine digital dermatitis demonstrate keratin filament formation in skin above the hooves in affected animals. The multifactorial etiology of digital dermatitis is not well understood, but spirochetes and other coinfecting microorganisms have been implicated in the pathogenesis of this veterinary illness.
Morgellons disease is an emerging human dermopathy characterized by the presence of filamentous fibers of undetermined composition, both in lesions and subdermally.
While the etiology of Morgellons disease is unknown, there is serological and clinical evidence linking this phenomenon to Lyme borreliosis and coinfecting tick-borne agents.
Although the microscopy of Morgellons filaments has been described in the medical literature, the structure and pathogenesis of these fibers is poorly understood.
In contrast, most microscopy of digital dermatitis has focused on associated pathogens and histology rather than the morphology of late-stage filamentous fibers.
The most effective antibiotics have included tetracyclines (doxycycline, minocycline), macrolides (Zithromax, Biaxin), Septra DS, and quinolone drugs (Cipro, Levaquin, Avelox, and Factive). Often the skin lesions and associated symptoms resolve once the above antibiotics are used in a comprehensive treatment plan" ??Horowitz, Richard (2013-11-12). Why Can't I Get Better?: Solving the Mystery of Lyme and Chronic Disease (Kindle Locations 2662-2666).


Still, 100% of the patients, that were felt to genuinely haveMorgellons Disease, have large microscopic-to small macroscopic fibersvisible under their outer layer of skin. These fibers are not associated withscabs or open lesions, nor are they under scarred tissue.
The idea thatMorgellons fibers are mere fuzz and lint, simply sticking to the lesions andscabs, is not possible based on the observations that were just described.These fibers are under "normal-appearing" areas of skin. The photographs indicate that the particles are very active, and are growing "tendrils," fibers," "ruffles," protrusions," and are creating connections between themselves. These connecting "fibers" appear to be creating translucent "crystal clear" objects that give the appearance of "crystal fibers."                                                                              —Fungihomeworld.
5mar2010                 ?                   ?        Although Morgellons has no known "cure" at this time, we believe recognizing and identifying the disease gives a patient something to go on so they can start becoming proactive with their health. Often these visits are out-of-pocket expenditures as patients escalate up the food chain to specialists not within their health plans, bankrupting themselves unnecessarily.
Having a diagnosis will allow sufferers to make informed decisions about their next healthcare choices. There is no silver bullet when it comes to Morgellons. A holistic approach working with diet and pH, plus supplements to rebuild the body's systems is one avenue towards proactive change and symptom reduction. Fibers and particles in various states of emergence from the skin. This mass exodus happens after coconut oil has been applied to my skin and usually takes 3-4 hours after application to see these kind of results. Fibers under the skin can clearly be seen in these photos as well as in urine and stool, plus the lab doing DNA testing has noted that they are seeing fibers in stool samples. I truly do not understand how this could be misconstrued as a mental illness—and anti-depressants and anti-psychotics are not a fix. This community is looking for a way to repair the health of the body.  A quick Google search revealed that only a quarter of the dermatologists in the United States even own a dermascope.
Plus, a scope that only enlarges 10 or 15 times, is not going to be appropriate for diagnosis of Morgellons.
The fact that our doctors are supposedly experts and authorities, and considered the last word in the eyes of most of the public, yet are clearly not equipped to diagnose a new disease such as Morgellons, reflects poorly on the medical profession.?You have power to move the Morgellons cause along, if only you will participate.
We need your support and input as health "authorities" to bring credibility to the phenomenon? happening. If you think there are not enough people sick with this disease to warrant your time, think again and heed a call from those of us who are looking at the skin of our friends and families and are finding fibers in them.
As of yet, this "healthy" population is asymptomatic, but we believe they are carrying the seeds of this disease in their systems.
Imagine a world in which every patient going for a physical with their GP or dermatologist had 3 minutes devoted to examination of the skin with a scope—and what kind of data could be gathered from this! That's the kind of world I would like to live in. One final note before I step off my soapbox is to reinforce the oath you took on becoming a doctor. DOP in patients records have led to loss of their legal rights, hospitalization against their will and in some cases children being removed from their parents.
Also, be cautious as to how you phase things as in "I'm having crawling sensations on my skin." instead of "I'm infested with bugs!" I'd refrain from using the term "Morgellons" until you sense you can trust your practitioner. Click the links to see extensive documentation of Morgellons fibers in Urine, Stool, Blood, Skin, Hair Above: Fiber is magnified 200x. At the time this was taken, my urine pH was very low (acidic) and I was having a hard time bringing it up to alkaline for two days.
When I checked my skin I saw many more fibers then usual and many were still under the skin.
I asked myself what would cause such fiber growth, and made the connection to an acidic system.
It it my personal wish to see physicians actually begin to use magnification so that they may understand the phenomena their patients are experiencing. Photo submitted courtesy of oddiyfuqoro NA will? Above: This particle is one of the classic forms I find being expelled from the body.
The Morgellons particles didn't match any of the 800 fibers on their database, nor the 85,000 known organic compounds. For those insisting the CDC study of Morgellons laid down the law for definitive answers about Morgellons, I'd suggest you listen to Doctor Randy Wymore speak more in depth about the study and its inherent flaws and bias. Often the skin lesions and associated symptoms resolve once the above antibiotics are used in a comprehensive treatment plan" ??Horowitz, Richard (2013-11-12).



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