acute lingual tonsillitis
Introduction
Introduction to acute tongue tonsillitis Acute tongue inflammation (acutelingualtonsillitis) is an acute inflammation of the lymphoid tissue at the base of the tongue, which is often secondary to upper respiratory tract infection or complicated by acute tonsillitis. Its etiology and development factors are the same as acute tonsillitis, and the main pathogen is type B hemolytic streptococcus. In severe cases, ulcers and purulent secretions may be localized, and the base of the tongue may be abscessed. At the onset of the symptoms of upper respiratory tract infection, such as dry throat, foreign body sensation, burning and sore throat, the pain gradually worsens, more on one side or both sides of the tongue is more obvious, severe cases can be radiated into the ear causing severe pain, also There is difficulty in eating and swallowing due to pain. The patient is acutely ill and occasionally has high fever. Examination showed acute hyperemia of the pharyngeal mucosa, more mucous secretions in the pharynx and oral cavity, and the lymphoid tissue at the base of the tongue was granulated, hyperemia, swelling, and connected to the lower end of the tonsils. In severe cases, ulcers and purulent secretions were localized, and A tongue abscess can occur. basic knowledge The proportion of sickness: 0.01% Susceptible people: no special people Mode of infection: non-infectious Complications: abscess
Cause
Acute tongue tonsillitis
Infection factor (30%):
The main pathogen is type B hemolytic streptococcus. Non-hemolytic streptococcus, staphylococcus, Streptococcus pneumoniae, Haemophilus influenzae and some viruses (including adenovirus, influenza virus, parainfluenza virus, Epstein-Barr virus, etc.) can also cause the disease. Mixed infections of bacteria and viruses are more common.
Immunity factor (30%):
The above pathogens do not occur in the mouth and tonsils of normal people. When certain causes (such as cold, overwork, excessive alcohol and tobacco, harmful gas stimulation, etc.) reduce the systemic or local immunity, the pathogens invade the body or the original Pathogens can cause disease when they are multiplied.
Acute inflammation of adjacent organs (30%):
Such as acute pharyngitis, rhinitis, stomatitis, etc. spread and involve the tonsils.
Prevention
Acute tongue tonsillitis prevention
Pay attention to oral hygiene, rest properly, increase nutrition, and improve the body's resistance. Pay attention to rest, drink plenty of water, pass stool, eat food or soft food. When the sore throat is obvious, pay attention to the early infusion treatment to avoid the spread of infection. Pay attention to adjusting the diet structure, pay attention to eating more fresh vegetables, supplement various vitamins, should not simply eat light foods, should be combined with alfalfa, drink plenty of water, maintain the body's nutritional balance, enhance the body's immunity.
Complication
Acute tongue tonsillitis complications Complications
In severe cases, it can cause severe pain in the ear, and it is also difficult to eat and swallow due to pain. The patient is acutely sick and occasionally has high fever.
Symptom
Acute tongue tonsillitis symptoms Common symptoms tonsil hypertrophy high fever sore throat pharyngeal congestion cold appetite loss tongue root abscess mirror tongue slumber
Initial symptoms of upper respiratory tract infection, such as dry throat, foreign body sensation, burning and sore throat, etc., the pain gradually worsens, more on one or both sides of the base of the tongue. In severe cases, it can be radiated into the ear, causing severe pain. Due to pain affecting eating and swallowing difficulties, the patient is acutely ill and occasionally has high fever.
Examination showed acute hyperemia of the pharyngeal mucosa, more mucous secretions in the pharynx and oral cavity, and the lymphoid tissue at the base of the tongue was granulated, hyperemia, swelling, and connected to the lower end of the tonsils. In severe cases, ulcers and purulent secretions were localized, and A tongue abscess can occur.
Examine
Examination of acute tongue tonsillitis
Examination showed acute hyperemia of the pharyngeal mucosa, more mucous secretions in the pharynx and oral cavity, and the lymphoid tissue at the base of the tongue was granulated, hyperemia, swelling, and connected to the lower end of the tonsils. In severe cases, ulcers and purulent secretions were localized, and A tongue abscess can occur. Blood routine, C-reactive protein, erythrocyte sedimentation rate, and tonsil secretion examination are usually performed clinically.
Diagnosis
Diagnosis and diagnosis of acute tongue tonsillitis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
The disease is mainly differentiated from acute tonsillitis and acute pharyngitis.
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. Often occurring in children and adolescents.
Acute pharyngitis is an acute inflammation of the throat mucosa, submucosal tissue, and lymphoid tissue. It is most common in winter and spring, usually caused by viruses or bacteria. Most are secondary to acute rhinitis, acute sinusitis, acute tonsillitis, and often complications of infectious diseases such as measles, flu, and scarlet fever.
