Lacunar angina in children, like the follicular form of the disease, is diagnosed more often than in adults. Both types of pathology are included in the group of vulgar (ordinary) tonsillitis and have similar symptoms, but the course of the first is more severe. In children, it proceeds with the formation of a linear yellowish purulent plaque between the lobules of the tonsils. At the same time, the surface of the glands becomes edematous and brightly hyperemic, and the plaque islets in the mouths of the gaps often unite, forming wide drainage purulent foci.

In children, the disease is accompanied by signs of general intoxication of the body. The International Classification of Diseases of the 10th revision (ICD-10) classifies pathology as X class (respiratory diseases), heading J00-J06 - acute respiratory infections of the upper respiratory tract. Lacunar angina is attributed to acute tonsillitis, so its code for ICD-10 is J03.

On average, the duration of the disease in adults varies from 5 to 7 days, while in children it lasts longer - 10-14 days. Usually, an acute inflammatory process is caused by bacteria, therefore, to determine the pathogen, a bacteriological analysis of a throat smear is necessary.

In the acute period, otolaryngologists recommend taking antibacterial and anti-inflammatory drugs, gargling with antiseptic solutions, and patient compliance with bed rest.

The reasons for the development of acute lacunar tonsillitis Depending on the age of the patient, the most common pathogens are:.

young children: measles virus, Coxsackie, adenoviruses;

adolescents, adults: hemophilus bacillus, staphylococci, streptococci and other bacterial agents.

One of the possible causative agents of angina in young children is measles virus. The infection occurs against the background of a decrease in the immune system - pathogenic microorganisms entering the oropharynx are activated, and their accumulation in lacunae leads to the development of the inflammatory process in the lymphoid formations of the pharyngeal ring. Often, bacteria enter the upper respiratory tract through the inhaled air, less often - when using household items on which they are located.

Keep in mind that streptococci and other bacteria can spread to the joints, kidneys, and heart with the movement of blood.. Therefore, the absence of antibiotic therapy against the background of a decrease in immunity is fraught with the development of complications in the form of glomerulonephritis, polyarthritis, endocarditis and myocarditis.

Symptoms of lacunar angina in children In most patients, the clinical symptoms of the disease are characterized by a combination of worsening general condition with local changes in the lymphoid tissues and pharynx. During the physical examination revealed purulent exudate in the gaps, yellowish-white contents in the form of separate islands on the surface of the throat, as well as hyperemia, swelling and enlargement of the tonsils. On palpation of the maxillofacial and cervical nodes, their swelling is noted, as well as soreness, especially when turning the head and opening the mouth.

If tonsillitis is repeated several times during the year, there is a constant inflammation of the lymphoid and tissues surrounding the pharynx - chronic tonsillitis develops.

Pathology develops rapidly and acutely, the child has signs of general intoxication of the body, namely:.

Strong headache;

body aches;

hyperemia;

chills;

fever;

repeated vomiting;

decreased or lack of appetite;

syncopal (fainting) conditions;

irritability;

weakness;

sleep disturbance.

For 2–3 days, a sore throat may appear, the intensity of which increases when food and water are swallowed.. Swelling and infiltration of the tonsils and soft palate leads to the fact that it becomes difficult for the child to open his mouth, while his voice becomes nasal, and speech ceases to be intelligible. Gastrointestinal tract disorders (diarrhea, nausea, abdominal pain) and an unpleasant aftertaste in the mouth are frequent signs of pathology.

The absence or improper treatment of purulent inflammation can lead to its spread to the middle ear and paranasal sinuses, as well as to the appearance of a pharyngeal or paratonsillar abscess.

Another symptom characteristic of vulgar sore throat is an increase in body temperature to 39–40 ° C. It is recommended to consult a doctor about how much the temperature is held at such a level in the norm and with what drugs it is most effectively brought down..

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