It's been a long time now that it's not a secret for anyone that with the onset of the cold season, various infectious diseases of the respiratory tract start to actively manifest themselves.
Overcooling and frequent colds against a weakened immune system can trigger a disease such as acute tonsillitis. One of the types of this ailment is acute follicular angina.
This pathology is a common infectious disease with a predominant lesion of the palatine tonsils. The defeat in this case is inflammatory - small lymph nodes of these structures are affected, on which ulcers are formed. Purulent follicular tonsillitis is a very contagious disease, so it is not surprising that it occurs in people of all ages.
Causes and symptoms of purulent and acute follicular angina in adults
For such a disease as follicular angina, the causes are reduced to a bacterial factor. And the most frequent causative agents of the described illness are considered to be streptococci. In 90% of cases, they become the culprits for the development of this disease. These microorganisms can live in the respiratory tract and digestive tract.
In the remaining 10% of cases, follicular angina, the photo of which is located below, is caused by pneumo-, meningo- or staphylococcus, hemophilic rod or adenovirus:
Infection spreads through the air. Coughing, sneezing, talking - all this contributes to the movement of bacteria. You can also get infected when using shared utensils and through dirty hands.
Contributes to infection and weakened immunity, and the presence of predisposition to the pathogen, and characteristic weather conditions( signs of the disease most often appear in winter, spring or autumn).
Describe the symptoms of follicular sore throat should start with local symptoms:
1. First dryness in the mouth, then pershenie.
2. A little later, a cough and an intensifying sore throat. Palatine arches turn red, tonsils gradually swell and pustules appear in them in the form of tubercles of yellow and white color.
How does the follicular sore throat in the photo look like below:
Against this background, a fever appears. The temperature with this disease jumps to 39 - 40 degrees and can stay at such a level for quite a long time, not succumbing to the action of antipyretic drugs. The patients develop general weakness with intoxication, chills and headaches.
Lymph nodes grow in size and become painful, even to the point where it is painful for a patient to turn his head. It is also possible the appearance of pain in the muscles, in the heart and the development of tachycardia.
In an acute process, characteristic changes in the blood composition occur: the number of leukocytes increases, the leukocyte formula shifts to the left( there is a stab and segmented leukocytosis, and sometimes eosinophilia).ESR increases, sometimes even very significantly.
Symptoms of follicular angina at an early stage are very similar to manifestations of infectious mononucleosis, and also may seem to exacerbate chronic tonsillitis, resemble the symptoms of herpetic sore throat or have a similarity with oral candidiasis.
And it is extremely important to distinguish follicular tonsillitis from infectious mononucleosis, tk.the therapy of these two conditions differs in a cardinal way: the angina is treated mainly with antibiotics, and in mononucleosis they are categorically contraindicated.
All this suggests that if you have symptoms of sore throat, do not pull with a visit to the doctor.
Diagnosis of follicular sore throat during pregnancy and complications of
disease. The nature is conceived so that women who are preparing to become mums are immunocompromised. This is necessary for bearing the fetus.
In this regard, follicular sore throat during pregnancy is not uncommon, because the disease is rather contagious.
The disease manifests itself in the same way as in everyone, but the complications and consequences can be much more serious. The fact that the intoxication of the body and oxygen starvation due to difficulty breathing can lead to the termination of pregnancy, and fever, uncontrolled therapy and especially antibiotic treatment can provoke the development of various defects in the child. Also streptococcal follicular angina gives complications to the kidneys.
Because of this, the diagnosis of follicular sore throat in pregnant women requires the most close attention on the part of doctors.
What antibiotics are prescribed for follicular angina in adults?
Before treating follicular sore throat in an adult, you need to make sure that this is really the same disease, not something else, but very similar to it.
At the very beginning of the described disease, the patient should take for analysis smears from the pharynx and nose, in which, for the purpose of differential diagnosis, specialists will search for the wand of Lefler, which is the causative agent of diphtheria. In her absence, angina therapy begins.
The main treatment for follicular sore throat is to prescribe the patient antibacterial drugs.
These drugs, first of all, should provide suppression of bacterial microflora, and with streptococcal angina prevent the development of such a dangerous complication of this pathology as rheumatism.
The latter in its acute form only provokes a rise in temperature with intoxication, and also affects the nervous system, walls and valves of the heart and causes inflammatory joint reactions. Chronic rheumatic fever is manifested in the form of severe valvular defects, accompanied by progressive insufficiency of the heart muscle and invalidization of patients.
In addition, streptococcal follicular angina gives complications to the kidneys, which is usually the development of secondary glomerulonephritis, which in turn leads to the formation of chronic kidney failure.
Given the possibility of these two menacing states in the treatment of the disease in question, antibiotics must necessarily be present. Of course, in the absence of allergies to them.
In the diagnosis of follicular angina antibiotics, which are usually prescribed by doctors, can be divided into two groups:
1. The first-line drugs in this case will include semisynthetic and inhibitor-protected penicillins. They are drugs with a fairly broad spectrum of action, which are highly effective against staphylo- and streptococci. The course of admission is set for ten days. As an example of antibiotics in follicular angina in adults, you can lead Amoxicillin( also known as Flemoxin solute).And in the presence of resistance of the causative agent to this drug, Amoxicillin with clavulanic acid or Augmentin is used.
2. The second series of antimicrobials used in the described disease are macrolides, the course of which is usually limited to 5 days. The latter is due to the fact that these medicines accumulate in the blood and continue to act after the end of their admission. An example of such drugs is Azithromycin and Clarithromycin.
In order to decide which antibiotics should be taken with follicular angina in a particular case, it is necessary to consult a specialist.
The effectiveness of such treatment is estimated within 72 hours. If the variant is favorable, the temperature decreases, and the general well-being of the patient improves. In case of inefficiency of the medicine, it will be necessary to use preparations of the other group.
A very important aspect of therapy is the fact that antibiotic treatment can not be stopped after the patient is relieved.
If the course is interrupted, it is likely that the bacteria will develop sensitivity to this antibiotic, which means that with the re-occurrence of follicular sore throat in adults, and even more so in children will no longer be succumbing to treatment with such medications.
Than to treat a follicular sore throat in the adult: symptomatic medicines
In the question of how to cure a follicular sore throat, one should not forget about symptomatic therapy, which includes taking various medications aimed at eliminating the symptoms of ailment.
In order to reduce the manifestations of the disease, the patient is prescribed non-steroidal anti-inflammatory drugs, which, in addition to the main effect, also relieve pain. For example, this is Nurofen or Paracetamol.
To combat the allergic component of inflammation, antihistamines are useful( Loratadin, Claritin, etc.).
Than to gargle with follicular sore throat
For people with a diagnosis of angina, the follicular medications listed above are far from the only treatment option. In all cases, therapy is complemented by local procedures.
The process of the formation of the disease in this case consists in the appearance of a purulent follicle, which ripens, grows, and finally is opened. Those.in the oral cavity of the patient there is a pus of the focus, which means that the most important condition for effective control of the described disease can be considered gargling of the throat, which, in addition to the disinfecting action, helps wash off the pus formed during the dissection of the follicles.
Follow this procedure as often as possible, at least 6 times a day. It is necessary to use special antiseptic agents( Iodinol, Chlorophyllipt, Miramistin, etc.), herbal infusions or a solution of soda and salt. However, just to tell the patient who developed a follicular sore throat, than gargle is for him only a doctor.
In addition to rinses in the treatment of this ailment, it is possible to use rather convenient aerosols( for example, Geksoral or Tantum Verde).
Swelling and sore throat can be alleviated with lozenges or absorbable tablets( Tharyngept, etc.).
How to quickly cure follicular sore throat: regimen and folk methods
In any disease, compliance with the regimen is an important component of therapy. When angina patient recommended to adhere to bed rest. And you can not go out into the street in a weakened state, because this will inevitably lead to a serious deterioration of the state.
It is very important to frequently ventilate the room where the patient is and clean it.
For the prevention of severe dehydration, which can occur as a result of fever and severe intoxication, as well as for the prompt removal of toxins, doctors telling the patient how to treat follicular sore throat, are surely mentioned and about the abundant warm drink.
The warm milk with the addition of soda or non-carbonated mineral water is the best for this. Very well help herbal tea with dog rose, sage or chamomile.
In this case, the liquid must be brought to the maximum comfortable temperature, i.e.it should not be hot, but not cold, so as not to injure the mucosa once again.
When diagnosed, follicular sore throat in adult treatment also includes a certain diet.
A ration of liquid cereals, broths and soups is recommended. Food should be as homogeneous as possible. Hard food will cause pain when swallowing.
There is another available way to quickly cure follicular sore throat. It refers to folk methods:
It is necessary to grate 1 beet on a small grater. Then add 6% apple cider vinegar at the rate of 1 tbsp.spoon on 1 glass of grated beets. This mixture is put in a dark place for 4 hours. Then squeeze the juice through a dense tissue and this juice, which has an antibacterial property, gargle every 3 hours.
Follicular sore throat in adults, photos of the manifestations, as well as the methods of treatment which are listed above, is a disease in respect of which prevention can and should be done.
In this case, it consists in the sanation of foci of chronic infection and disinfection of household items, if someone in the family is ill or has had an angina.