Lacunar tonsillitis - is a form of acute infectious disease in which there is local inflammation of the tonsils of the pharynx. This pathology can cause a variety of microorganisms. The disease is diagnosed quite easily, as can be seen on the surface of the tonsils typical of tonsillitis such changes. In severe cases, may develop complications. In the treatment of lacunar angina include compliance with certain regime and diet and the use of various drugs for local and general action.
Causes of lacunar angina
The main cause of angina - infection from a sick person. The greatest danger of infection exists in the first few days after the onset of angina. But the man who had been ill with it, can be a source of infection for another ten days.
An important role in the development of angina belongs to β-hemolytic streptococcus. The bacterium is transmitted by airborne droplets, and the source of infection - sick people or carriers, if you have close contact with them. Angina can also cause negative staphylococci, pneumococci, Pseudomonas and E. coli and other microorganisms.
The disease can develop as a result of auto-infection. This sore throat
Angina - is it worth it to carry "on their feet"?
causing microbes or viruses that colonize the mucous membrane of the throat and tonsils.
Lacunar tonsillitis in adults and children during the autumn-winter period of about a third of cases associated with the action of viruses (adenovirus, coronavirus, rhinovirus, influenza and parainfluenza viruses, respiratory syncytial virus). Viruses can not only be independent agents angina, very often they provoke the activity of the bacterial flora.
Symptoms lacunar angina
The disease begins with fever. Also, there are signs of intoxication: general weakness, malaise, chills, headaches, and sometimes pain in the lumbar region. Lacunar tonsillitis in children sometimes accompanied by more severe symptoms: against high temperature and vomiting intoxication occurs, there may be impairment of consciousness. There are severe pain in the throat when swallowing, which can give ear.
Almost always increasing regional lymph nodes
Lymph nodes - what keeps our immune system
. They are easily felt under the lower jaw, and painful to touch.
Tonsils increase in size and become red. On the surface noticeable islands of white plaque and yellowish-white tubes, which are located at the mouths of the gaps. Sometimes these attacks are merged together and can cover almost the entire surface of the tonsils.
From the second to the fifth day after the onset of the disease, when the attacks begin to separate the symptoms of angina
Symptoms of angina - obvious and recognizable
become less pronounced, but the temperature is still some time left subfebrile. The duration of the disease - about a week, but it increases the presence of complications.
Complications lacunar angina
When lacunar angina runs hard, it can appear complications. They are divided into local and general. The former of these are:
- Paratonsillitis (inflammation okolomindalikovoy fiber);
- Retropharyngeal and peripharyngeal abscesses;
- Phlegmon neck;
- Swelling of the larynx;
- Laryngitis;
- Acute inflammation of the middle ear.
Common complications cause injury to vital organs and body systems. Against the background of lacunar angina may develop:
- Rheumatism with involvement in the pathological process of the heart and joints;
- Kidney damage;
- Sepsis.
Diagnostics
The diagnosis of lacunar tonsillitis established on the basis of symptoms and examination of the tonsils. Also conducted bacteriological research, to identify the microorganism, which has led to the development of inflammation.
Differential diagnosis of lacunar angina performed with diphtheria. In the latter disease are formed on the tonsils raids dirty yellowish color, which go beyond the tonsils. The raids are removed with difficulty, tonsils then bleed. Local lymph nodes are enlarged and swollen. The diagnosis is confirmed by detection of smears from the pharynx Corynebacterium diphtheria.
Treatment lacunar angina
Treatment lacunar tonsillitis in children
Sore throat in children - a common disease
and adults includes the observance of a particular mode, local and general therapy. In the early days of the disease need to comply with bed rest. Later (after a few days) are allowed to Home mode, but with the limitation of physical activity, it is very important to prevent complications.
The patient man is necessary to allocate a separate bowl, towel and limit contact with others. The diet should be gentle, mostly dairy-vegetable and rich in vitamins. It is recommended to drink fruit juices, tea with lemon and raspberry, infusion of rose hips, mineral water.
Antibiotics for lacunar angina - the basis of medical treatment. Prescribers penicillin (penicillin, amoxicillin). These drugs have a high activity against β-hemolytic streptococcus.
If angina occurs frequently or runs hard, apply the protected penicillins (amoxiclav). If you have an allergy to penicillin, then prescribe medications such as:
- Macrolides (azithromycin, spiramycin, midecamycin);
- Cephalosporins I and II generation (cephalexin, cefuroxime);
- Carbapenem (imipenem, meropenem). They are used only for severe complications of angina.
Also appointed antipyretics and analgesics, vitamins B and C, immune modulators. Local treatment of lacunar tonsillitis in adults and children includes rinse throat warm decoction of herbs (sage, chamomile, calendula and others), a solution of baking soda, hydrogen peroxide or nitrofural. This procedure must be repeated five or six times per day.
For local effect on inflamed tonsils often used bioparoks formulation (aerosol), which contains the antibiotic fuzofungin. Stopangin - one of the local antiseptics, which are also shown in angina.
Before you treat lacunar tonsillitis, it's best to consult with a specialist. Easy flowing disease can be treated at home, and in severe forms of angina and the presence of complications you need hospital treatment.
