herpetic pharyngitis

Introduction

Introduction to herpetic pharyngitis Herpetic angina is an acute infectious, febrile illness caused by many Group A Coxsackie viruses, and occasionally other enteric viruses. It is characterized by herpetic ulcerative mucosal damage, which is common in infants and young children. The clinical features are sudden high fever accompanied by sore throat, headache, anorexia, and often pain in the neck, abdomen and limbs. basic knowledge The proportion of sickness: 0.01% Susceptible people: children Mode of infection: droplet spread Complications: cold, aversion to cold

Cause

The cause of herpetic pharyngitis

1, the respiratory barrier function is insufficient, for example, a small child does not have nose hair, can not block the rough foreign matter in the air.

2, the respiratory mucosa is soft, easy to be affected by various stimuli (cold, irritating gases, etc.), congestion, swelling and even inflammatory reactions.

3, the respiratory tract secretes the resistance to bacteria, the virus's immune substances are insufficient, can not fully kill the invading pathogens.

4. There are a number of cells with numerous cilia on the surface of the respiratory tract. These cilia are like a brush that is cleaned. The small particles such as dust and bacteria that are inhaled and adhered to the respiratory tract are swept out and discharged to the throat to cough up. This cilia activity in the respiratory tract of children is relatively weak, so the "self-cleaning" function is relatively poor.

In life, people need to constantly breathe to maintain their lives, so that bacteria, viruses, harmful gases, dust, etc. that enter the respiratory tract every day with inhalation are innumerable, and the above-mentioned defensive functions of children's respiratory tract are insufficient, so it is easy. Various acute respiratory infections have occurred.

Prevention

Herpes simplex cheekitis prevention

Pay attention to maintaining personal and indoor hygiene and try not to go to noisy public places. However, it must be noted that this disease is an acute onset, and the body temperature rises rapidly after the illness, which easily leads to high heat convulsions. If you are convulsing, you can take the patient's person's name while you are rushing to the hospital, and constantly call the patient's name, while preventing the tongue from being bitten when twitching.

Complication

Herpetic pharyngitis Complications, cold, aversion, fever

Often secondary to acute rhinitis, pneumonia, influenza, malaria, epidemic meningitis, can also occur alone, in addition to the pharynx, oral mucosa can also occur herpes.

This disease occurs alone, often without systemic symptoms, pharyngeal pain, affecting swallowing, infants and young children, often manifested as crying when eating, do not want to eat, submandibular lymph nodes have tenderness, sometimes accompanied by fever. Check throat Herpes often occurs.

Symptom

Herpes zoster symptoms, common symptoms, cough, sore throat, herpes fever, and shivering

The clinical features are sudden high fever accompanied by sore throat, headache, anorexia, and often pain in the neck, abdomen and limbs. In infants, vomiting and convulsions often occur. Within a few days of onset, a small number (rarely more than 12) of small (1~2mm in diameter) grayish white herpes appear in the oral mucosa. The circumference is surrounded by redness, which is more common in the front of the tonsils, but it can also be located. Soft palate, tonsil, uvula, tongue, etc., in the next 24 hours, the blisters will become shallow ulcers, the diameter is generally below 5mm, and heal within 1~5 days. Complications are rare: symptoms usually disappear within 7 days. Long-lasting immunity can be produced after infection, but other types of viruses or other enteroviruses in group A may also cause recurrence.

Examine

Herpes pharyngitis

According to the onset of acute fever, there is papular vesicular damage in the mouth and the culture of Coxsackie or Echovirus can be diagnosed. It is differentiated from some viral diseases with buccal buccal disease. Laboratory tests for increased white blood cells, taking pharyngeal blister fluid Or stool, tissue culture or inoculation in suckling mice can obtain the pathogenic virus, and the acute phase and recovery period serum can be taken for special neutralizing antibody, complement fixation or hemagglutination inhibition test to help confirm the diagnosis.

Diagnosis

Diagnosis and diagnosis of herpetic pharyngitis

Herpetic pharyngeal cheek inflammation is a special type of upper respiratory tract infection. Because its initial symptoms are not much different from the common cold, it is easy to be misunderstood as a common cold and delay treatment. There are also patients with no other symptoms. There are many reasons for herpes simplex pharyngitis in children, mainly due to the hot weather and poor indoor air circulation, which causes indoor airborne bacteria and viruses to rapidly multiply and enter the respiratory tract of children and cause diseases. These viruses are mainly Coxsackie virus, herpes virus and Echo virus, as well as concurrent bacterial infections.

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