Quinsy is now considered the most common of infections affecting the neck and head, and causing conditions that require urgent medical attention. According to approximate data, the disease occurs in one person in ten thousand.
Quinsy can develop in people of any age, but most often it ill people aged 20 to 40 years. In patients younger than 20 years old, sick quinsy, most often weakened immunity.
In recent years, the incidence of quinsy is slowly but steadily increasing; experts believe that this is due to the fact that an increasing number of strains of bacteria that are resistant to various antibiotics, which is why a bacterial sore throat is not always possible to cure before it flows into more severe forms.
Usually quinsy it appears a few days after the onset of the classic signs of a sore throat. Its symptoms are:
- Sore throat, especially strong - on the part of the amygdala, where an abscess;
- Change the voice;
- Pain in one ear - the part of the affected tonsil;
- Bad breath
Breath (halitosis) - is sometimes useful to close the mouth
- Swelling of the face and neck.
When should you see a doctor?
Consult a doctor if a sore throat and other symptoms of angina
Symptoms of angina - obvious and recognizable
rapidly increase, or there are characteristic symptoms of quinsy, pain in the throat with one hand and pain in one ear. If you suspect a quinsy patient immediately sent for examination; to prevent the spread of infection, treatment should begin as soon as possible.
Quinsy pathogens are bacteria, most often - streptococci (especially the kind Streptococcus pyogenes), and Haemophilus influenzae. Why some patients develop quinsy is still unknown, but most experts believe that the abscess
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in the amygdala is formed as a result of very heavy and / or finished the cure sore throats.
Another theory links the development of quinsy with Weber's glands, located just above the palatine tonsils. One of the problems is the Weber glands excretion of various wastes such as dead tissue cells of the tonsils and surrounding areas. If these glands cease to function properly and perform their functions, channels that connect them to adjacent structures, are inflamed. This can lead to infection, which in severe cases causes abscess formation.
It is believed that the following factors increase the likelihood of quinsy in patients infected usual angina:
- Reduced immunity - for example, due to HIV / AIDS, or receiving immunosuppressive drugs.
Treatment of quinsy
Most patients with a diagnosis of "quinsy" must be treated with antibiotics to fight the infection quickly.
Typically antibiotics are administered intravenously - it allows as soon as possible to achieve the desired result of the treatment. Most often, when quinsy use the following antibiotics:
- Penicillin or penicillin V - one of the members of the group of penicillins;
- Clarithromycin - a drug that is assigned if the patient is allergic to penicillin;
In some cases, there may be used, and other antibiotics. The choice of drug depends on what kind of bacteria caused the infection and the general state of health of the patient - for example, some antibiotics should not be taken in certain diseases of the liver and kidneys.
Since many antibiotics reduce the effectiveness of combined oral contraceptives during treatment is recommended to use additional means of contraception.
In severe swelling in the throat can also be used corticosteroids.
As a rule, one antibiotic therapy is not enough to cope with quinsy, and we have to use the procedure to drain the abscess, but sometimes also for removing the affected tonsil. In the treatment of quinsy with about the same efficiency, the following procedures and operations:
Fine-needle aspiration. The main advantages of this procedure are: minimally invasive, relatively low cost and relatively low level of discomfort for the patient after aspiration.
Needle aspiration is performed under local anesthesia with lidocaine and epinephrine. The doctor inserts a thin hollow needle attached to a syringe into the abscess and remove the pus formed inside it.
Incision and drainage of an abscess. This procedure is also performed under local anesthesia. Using a scalpel doctor makes an incision length of about 0.5 cm and a depth of not more than one centimeter, then through the hollow tube displays pus from an abscess. As needle aspiration, and the procedure is incision and drainage of an abscess usually take no more than half an hour.
Tonsillectomy. Currently there are no data indicating that the tonsillectomy helps prevent the development of quinsy patient in the future, however, such an operation can be assigned if the patient has previously repeatedly suffered angina of this type, or does it have any other evidence to the tonsillectomy, for example, sleep apnea
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In the absence of adequate treatment of quinsy can lead to the following complications:
- Cerebral abscess;
- Thrombosis of the jugular vein.
Approximately 94% of cases can be successfully treated quinsy, and does not cause complications. On average, 10% of patients who have had the disease, relapse occurs; According to available data, the probability of relapse is independent of which method was used for the treatment of quinsy.