Angina are commonplace due to infection, usually viral (red chest pain) or, less commonly, bacteria (tonsillitis white).
Some chest pain as angina diphtheria are caused by specific germs.
The same is true of angina Streptococcal bacterial (or strep throat) is not the most common. But it should always be suspected, because of its possible complications.
Angina is specific to certain infectious diseases.
It is a harbinger of the disease, the first warning sign (angina of scarlet fever, measles, infectious mononucleosis, rubella, etc. ...).
As angina or "red" or "white", the clinical signs are the same: spontaneous pain and sensation of "swelling" in the pharynx, difficulty swallowing or swallowing.
It is sometimes accompanied by pain in the vicinity of the ear (otalgia) and lymph nodes in the neck.
Fever may be raised to 39-40 ° C, malaise and severe fatigue is common.
It is the examination of the throat by a doctor who will make the difference between these two types of angina.
Before any angina alone, that is to say, not accompanied by a cold, a runny nose ... is performed in an office Strepto test.
This is a simple test, not painful. It is a collection of the throat with a swab. Wanted a bacterium, streptococcus.
If the test is positive, the patient will receive antibiotics.
This test can not be done in small children (before 3 years) due to lack of cooperation.
In practice, blood tests (antistreptolysin O or dosage ALSO) looking for a reaction of the organism to the presence of streptococci, are rarely indicated.
If the test is positive, the patient is given antibiotics for 10 days.There is now a 5-day treatment with antibiotics of the macrolide class.
The analgesic treatments (against pain) and antipyretic (against fever) are useful.
From a preventive point of view, in recurrent tonsillitis in children, tonsillectomy (or tonsillectomy) may be advised by the specialist (pediatrician or ENT), usually after two years.
What should you do?
- If it is a simple little sore throat, drink milk or hot lemon juice, sweetened with honey: two drinks have a good calming effect;
- Think of the analgesic and antiseptic lozenges, or use a mouthwash spray to reduce pain and treat the early symptoms;
- Do not hesitate to consult.
Inflammation of the tonsils and mucous membranes of the pharynx, angina is a disease more common in adults, children and adolescents than in young children.
The term is synonymous with tonsillitis, and that of tonsillopharyngitis.
What could be changing?
Local complications are represented mainly by the occurrence of tonsillar abscess or "phlegmon" in the amygdala.
Streptococcus, involved in about one quarter of cases of bacterial pharyngitis, is a germ formidable in the absence of appropriate antibiotic treatment, may cause renal complications, joints (rheumatic fever) and cardiac (valvular heart disease ).
Phlegmon of the amygdala is rare but it can be observed 3-4 days after an untreated sore throat, most often in adults with tonsillar "cryptic" (dug small crevices), with a history of frequent tonsillitis white .
In the absence of appropriate treatment prescribed time (antibiotic), sometimes you incise the abscess and then perform a tonsillectomy (removal of the amygdala in the second time).
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