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. If staff have no prior immunity, vaccine provides permanent protection & may prevent disease if given within 72 hours of exposure. Preferable to IG (which can be given up to 6 days post-exposure), as this immunity is temporary.
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It all started when a Tumblr user with the handle 'swiked' uploaded a picture of a dress with the caption: "guys please help me - is this dress white and gold, or blue and black? The post went viral on Twitter, Facebook and other social media platforms, with users passionately split over what color the dress really is -- blue with black lace, or white with gold lace. A BuzzFeed page devoted to the debate had more than 25 million views early Friday, with 72 percent of Internet users insisting the dress was white and gold, while 28 percent swore it was blue and black. Reena Garg, an assistant professor at the New York Eye and Ear Infirmary of Mount Sinai in New York, said the varied reactions can be explained by how we understand color, noting that the poorly exposed photograph was likely taken with a cell phone camera. A description on British manufacturer Roman Originals confirms that the dress is, in fact royal blue with lace, and sells for A?50 ($77).
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.
His parents are concerned as this rampant red rash has rapidly spread across his body overnight….
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. Kanye sees black & blue, who is color blind?" Kim Kardashian wrote on Twitter, on the debate raging in her household with rapper husband Kanye West.
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. Although they ignite together, some people have predominantly tonsillitis, while others, pharyngitis. Throughout the text I will differentiate the terms pharyngitis and tonsillitis, but what goes for one, also serves to the other.



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