acute tonsillitis
Introduction
Introduction to acute tonsillitis Acute tonsillitis is a non-specific acute inflammation of the tonsil, often accompanied by a degree of acute inflammation of the pharyngeal mucosa and pharyngeal lymphoid tissue. Traditional Chinese medicine is called "milk moth", "throat moth" or "lianmoed moth", which often occurs in children and adolescents. basic knowledge Sickness ratio: 100% Susceptible population: occurring in children and adolescents Mode of infection: non-infectious Complications: cellulitis, abscess around the tonsils, parapharyngeal abscess, rheumatic fever, myocarditis, arthritis, nephritis
Cause
Causes of acute tonsillitis
Cause
The main pathogens are type B hemolytic streptococcus, staphylococcus, pneumococci, adenovirus can also cause the disease, bacterial and viral mixed infection is not uncommon, bacteria may be invaded by the outside world, may also be hidden in the tonsil hidden Bacteria in the nest, when the body's resistance is cold, moist, overworked, weak constitution, excessive alcohol and tobacco, harmful gas stimulation and other factors suddenly decrease, bacterial reproduction is enhanced, and sometimes it is a prodromal symptom of acute infectious diseases, such as Measles and scarlet fever, acute tonsillitis is often repeated on the basis of chronic tonsils.
Prevention
Acute tonsillitis prevention
Do a good job in environmental sanitation, indoors should be well lit, air circulation; maintain appropriate temperature and humidity, patients with acute tonsillitis should be isolated to avoid transmission of pathogens.
1. Pay attention to rest, drink plenty of water, pass stool, and eat food or soft food.
2, when the sore throat is obvious, pay attention to the early infusion treatment to avoid the spread of infection.
3, repeated episodes or associated symptoms can be in the acute episodes of ECG and urination or anti-O examination to rule out the possibility of complicated nephritis, myocarditis, arthritis.
4, repeated episodes or accompanied by peritons around the abscess, peripheral inflammation patients should preferably be treated after the inflammation subsided.
5, should pay attention to the difference with epiglottis, do not think that it is acute tonsillitis because of sore throat, epiglottis is a disease that can cause short-term breathing difficulties and death, must not be underestimated, so if there is bad breathing, you should Go to the hospital.
Complication
Acute tonsillitis complications Complications Cellulitis, periton abscess, parapharyngeal abscess, rheumatic fever, myocarditis, arthritis, nephritis
(A) local complications: inflammation can spread to the surrounding, causing cellulitis around the tonsils, abscess around the tonsils, can also cause acute otitis media, acute cervical lymphadenitis and parapharyngeal abscess, etc.
(B) systemic complications: more thought to be caused by allergic reactions, can be associated with hemolytic streptococcal infections related to rheumatic fever, acute glomerulonephritis, myocarditis, arthritis, etc., should be particularly alert to sudden death of patients with myocarditis.
Symptom
Acute tonsillitis symptoms Common symptoms Sore throat, tonsil congestion, hypertrophy, loss of appetite, fainting, tonsil, small, tough, high fever, pharyngeal congestion, tonsil, hypertrophy, aversion
Although the clinical manifestations are divided into catarrhal, crypt and follicular tonsillitis due to their pathological changes, they can be divided into acute congestive tonsillitis and acute suppurative tonsillitis for diagnosis and treatment. Kind:
(A) systemic symptoms: acute onset, aversion to cold, high fever, up to 39 ~ 40 ° C, especially children can be convulsions due to high fever, vomiting or lethargy, loss of appetite, constipation and acid soreness.
(B) local symptoms: sore throat is obvious, especially when swallowing, severe can be radiated to the ear, children often cry because of the inability to swallow, children can block their sleep if they suffer from tonsil hypertrophy, often wake up at night .
Examine
Examination of acute tonsillitis
Acute patients, cheeks red, mouth smell, tongue thick moss, cervical lymph nodes, especially the lymph nodes at the mandibular angle are often swollen, and tender, white blood cells increased significantly, according to local examination can be seen different types of tonsillitis Different manifestations, acute congestive tonsillitis, also known as acute catarrhal tonsillitis, mainly manifested as tonsil congestion, swelling, no purulent discharge on the surface, acute suppurative tonsillitis with acute cryptic tonsillitis and acute follicular tonsils Inflammation, manifested as tonsil and sacral arch congestion, tonsil enlargement; crypt type showed crypts at the mouth of the yellow-white pus, sometimes exudate can be fused into a membrane, not beyond the tonsil range, easy to wipe without leaving bleeding Wound; follicular type mainly manifests as lymphoid follicular congestion of the tonsil parenchyma, swelling, suppuration, and tonsil formation of egg white small bulge.
Diagnosis
Diagnosis and diagnosis of acute tonsillitis
Acute tonsillitis generally has typical clinical manifestations, so it is not difficult to diagnose. Blood, urine routine examination, platelet count, throat swab smear examination and bacterial culture are of great significance for the differential diagnosis of other diseases. Attention should be paid to the differentiation of pharyngeal diphtheria, scarlet fever, epidemic hemorrhagic fever, ulcerative membranous angina, mononuclear leukocytosis, granulocytic leukemia and lymphatic leukemia.
