If at one time you feel fine - and then suddenly you can not swallow because of severe pain in the throat, you have a fever and you do not have the strength to crawl to bed - is likely to have purulent tonsillitis. In most cases, angina is caused by bacteria, in particular Streptococcus pyogenes Streptococcus. These bacteria are called opportunistic as they exist on the surface of the body and mucous membranes, no negative effects, but the weakening of immunity (such as after supercooling) which cause disease. According to studies, about 15% of healthy people are carriers of Streptococcus pyogenes, the bacteria but they themselves do not cause any inconvenience. Pathogens of purulent tonsillitis may also be staphylococcus, neisseria and Haemophilus influenzae.
But sometimes it does not become a victim of the bacteria around and support. The trigger purulent tonsillitis may be stress, chill on the background of a weakened immune system (for example, after a cold or flu). Purulent tonsillitis and can be infected by close contact with the patient. As with other infectious diseases, purulent tonsillitis cases are becoming more frequent in the colder months. In any case harmless streptococci suddenly releasing toxins and inflammatory agents, which could result in pain, pain and sore throat.
Although purulent tonsillitis gives a lot of inconvenience, modern medicine treats it easily with antibiotics: penicillin, erythromycin or clindamycin.
Unfortunately, few go to the doctor to find at these symptoms, as mistaken festering sore throat for a cold or flu.
But colds and flu are viral origin, and "mature" a few days, and purulent tonsillitis is developing rapidly and is not accompanied by any other symptoms characteristic of colds (cough, runny nose, headache).
In no case should not be taken lightly purulent tonsillitis: without proper early treatment, it can turn into rheumatic fever (a serious inflammatory disease of connective tissue with predominant localization in the cardiovascular system), or acute nephritis (kidney disease). Both of these diseases threaten death.
Symptoms of purulent tonsillitis
Purulent tonsillitis - is an informal term used in everyday life are called, usually tonsillitis. With this variety of angina follicles become inflamed tonsils, and they formed pus. Symptoms of purulent tonsillitis usually more pronounced than the catarrhal symptoms of angina, which affects the surface layers of the tissues of the tonsils.
In most cases, purulent angina proceeds with the following symptoms:
- Acute onset of disease (rapid deterioration of general condition)
- Difficulty swallowing and sore throat when swallowing
- High temperatures, sometimes above and 39ºS
- Redness throat
- White pus on the tonsils
- White patches on the tongue
- Increased sensitization and submandibular and cervical lymph nodes
- The absence of other cold symptoms: cough, runny nose and other disorders of the upper respiratory tract.
In addition to the classic symptoms of angina, patients can appear such signs of purulent tonsillitis as bad breath and voice changes.
In addition, many patients breathe through your mouth as enlarged tonsils and breathing through the nose difficult.
The most common pathogen of purulent tonsillitis - a streptococcus, but sometimes to the development of this disease result in staphylococci and gonorrhea. Other possible causes of purulent tonsillitis - Epstein-Barr virus, cytomegalovirus
Cytomegalovirus - what is its danger?
, Adenovirus, measles virus. Sore throat with ulcers can also be caused by the Coxsackie virus, but it is commonly called herpes sore throat, and she strikes the follicles of the tonsils.
What to do when purulent tonsillitis
If you suspect a purulent tonsillitis in adults and children should consult a doctor. He will have tests to establish the infectious agent, and if necessary, appoint a special treat. Usually within 5-10 days, patients are advised to treat purulent tonsillitis home remedies. It is necessary to comply with bed rest, drink plenty of fluids and do regular gargling. Very important is a complete, balanced diet with the festering sore throat: it helps the body to quickly deal with the disease. If the patient has a high fever or severe pain in the throat that prevents him from swallowing should take non-prescription pain relievers and antipyretics.
Many patients must grandmother's recipes and advice on how to get rid of the purulent tonsillitis - for example, want the bath (long been considered that in the steam room to quickly defeat the disease) make alcohol compresses, foot bath with mustard powder, and so on. The effectiveness of these agents has not been proved, and the bath in angina potentially dangerous for both the patient (if the body is not accustomed to the loads that are associated with exposure to high temperatures), and healthy people who are in the bath therewith. However, most patients still manages to cure purulent tonsillitis those or other home remedies.
If after 5-10 days after the onset of symptoms does not start to improve, you need to see a doctor again.
Usually during this time does not pass a bacterial purulent angina in patients with weakened immune systems, and in such cases require treatment with antibiotics - such as penicillin or macrolides. The course of treatment lasts from five to ten days. It is important that the patient received antibiotics, exactly following the instructions of the doctor. In addition, it is necessary to make analyzes of purulent tonsillitis after some time after the end of treatment, to make sure that bacteria cause infection completely destroyed.
Treatment of purulent tonsillitis
In the past, when symptoms of purulent tonsillitis - sore throat, redness of the throat, the appearance of the white plaque and pus on the tongue and tonsils - the doctor took a sample of bacteria cultures for analysis. For a total required 24 - 48 hours. If the analysis confirms that the pathogen is Streptococcus, the patient was prescribed antibiotics. To avoid delay, during which the infection is aggravated, many doctors are not waiting for the results of the analysis, and immediately prescribe antibiotics.
Today, this analysis takes much less time, only fifteen minutes. Cotton swab doctor takes a sample of bacterial cultures in the throat of the patient, and if the analysis confirmed the presence of streptococcus, the diagnosis is confirmed. But even if the test result is negative, purulent tonsillitis can not be excluded as a rapid test "passes" about 20% of infections ("false negative"). Therefore, if the test result is negative, carry out seeding bacterial cultures, which improves the accuracy of diagnosis. For this analysis typically requires up to 48 hours. For the treatment of purulent tonsillitis
Treatment of purulent tonsillitis: What drugs are prescribed
it is strongly recommended to use traditional methods of treatment (antibiotics) to avoid serious complications.
Complications from purulent tonsillitis
In most patients, angina passes quickly and without consequences. However, in some cases, the following complications of purulent tonsillitis:
- Scarlet fever - a disease can begin to develop even during the acute phase of the disease. The rash of purulent angina may be the first sign of scarlet fever;
- Acute streptococcal glomerulonephritis;
- Acute rheumatic fever. Usually it is a violation of developing 2-4 weeks after symptoms are festering sore throat;
- Septic arthritis
Arthritis - a variety of forms and complications
- Chronic angina. If purulent tonsillitis again develops a couple of months RSR previous episode, and so repeated several times during the year is likely to have chronic angina patients - a violation that may be a sign of a weakened immune system.
Prevention of purulent tonsillitis
The best way to prevent suppurative tonsillitis - is compliance with the rules of hygiene. Both the patient and all family members should wash their hands frequently (and be sure to do it before every meal), as well as clean up any surface, which could get the particles of saliva content of the pathogen tonsillitis. The patient need to use a separate bowl until the complete recovery.
In winter and early spring, when the probability to be ill with angina is greatest, should take steps to strengthen the immune system
Strengthening the immune system - help the immune system
- Eat right, exercise, take a contrast shower, it is often in the open air, fully relax.
- Whether infectious purulent tonsillitis?
Like other types of angina, purulent tonsillitis is highly contagious, and most vulnerable to its agents are people with weakened immune systems.
Typically, the incubation period of purulent tonsillitis lasts from five to ten days; after the end of the patient's state of health is deteriorating, and the acute phase of the disease begins.
In the first three or four days patients feel worse of all - at which time they may complain of high fever, chills, severe sore throat, headache. Because of the pain in the throat, patients may refuse to eat or drink. After that, in most cases, comes improvement. Usually the symptoms of purulent tonsillitis in adults completely disappear in 7-10 days, the children - an average of two weeks.
Bacteria and viruses are pathogens of purulent tonsillitis, transmitted by airborne droplets. The infection can occur in close physical contact with the patient, and in contact with the object on which hit the saliva of an infected person.