Streptococcal tonsillitis in children and adults is the most common disease in the autumn-winter period. It is characterized by a severe course and frequent development of complications..

Streptococcal angina is characterized by sore throat and difficulty swallowing. In most cases, the palatine tonsils are affected. Streptococcus is a Gram-positive oval or spherical bacterium. These microorganisms are arranged in chains or pairs..

The reason for the development of the disease is? - hemolytic (pyogenic) group A streptococcus. It produces toxins and enzymes that damage body tissues. These bacteria are very stable and can retain their properties for a long period at low temperatures and when dried.. They can live in sputum for several months..

The causative agent of the disease is pyogenic streptococcus Streptococcus bacteria are transmitted by airborne droplets - when coughing, sneezing or talking. Also, infection can occur through contact with a carrier of infection or through household items and personal hygiene.. Some people are carriers of streptococcus, but they do not have serious diseases and do not need antibiotic treatment..

Symptoms of streptococcal angina The incubation period is from 2 to 5 days. Bacteria, getting on the mucous membrane of the upper respiratory tract, are introduced and begin to produce toxins. Then the patient has the first symptoms.

Angina usually begins with an acute rise in body temperature The disease begins acutely with a rise in body temperature to high numbers (38.5–39 ° C). It may last for several days, accompanied by chills, nausea, vomiting, and confusion..

There is discomfort in the throat, perspiration, a feeling of dryness and difficulty in swallowing. In the future, there is pain in the oropharynx, which increases with the appearance of purulent plugs. Pain can be very intense. This results in the patient refusing to eat.. Sore throats are often associated with ear pain..

The tonsils swell and increase in size, characteristic white-yellow dot-shaped follicles appear on their surface, which are not prone to merging into a common figure.. With lacunar angina, pus covers most of the tonsils and accumulates in the lacunae (which can be seen in the photo). Purulent plaque can be easily removed with a spatula without the risk of bleeding.

With angina, there is an increase in the size of the tonsils and the formation of purulent plaque. Regional lymph nodes become inflamed. They increase in size, and palpation in this area causes pain..

Common symptoms of pathology include weakness, dizziness, drowsiness, lack of appetite.

Streptococcal tonsillitis is usually treated at home.. Patients with concomitant chronic diseases or if there are suspicions of the development of complications receive a referral to the hospital.

With proper treatment, the patient's condition begins to improve on the 7-8th day from the onset of the disease.. Body temperature returns to normal, plaque on the tonsils disappears, pain in the throat disappears. Increased fatigue and weakness may persist for a week.

Treatment of streptococcal tonsillitisSince bacteria are the causative agent of streptococcal tonsillitis, antibiotics are used in the treatment of pathology. In order to identify the sensitivity of microorganisms to drugs, a special analysis is carried out, for which a smear is taken from the mucous membranes of the oropharynx.

To determine the pathogen, a smear is taken from the oropharynx. What antibiotics can cure the disease? In the treatment of angina, the following are used:.

antibacterial agents of the penicillin series (Amoxil, Amoxiclav, Augmentin, Benzylpenicillin);

cephalosporins (Cefix, Cefodox, Ceftriaxone, Emsef);

macrolides (azithromycin, clarithromycin).

The drugs are prescribed in the form of a suspension, tablets or capsules, depending on the age of the patient and the severity of the disease.. In severe cases, drugs are indicated in the form of intramuscular or intravenous injections..

You can not reduce the course of treatment on your own, even with a rapid onset of improvement. This can lead to recurrence of the disease and the development of complications..

With proper treatment, the patient's condition begins to improve on the 7-8th day from the onset of the disease.. Body temperature returns to normal, plaque on the tonsils disappears, pain in the throat disappears.

In order to reduce body temperature and reduce pain in the throat, non-steroidal anti-inflammatory drugs based on ibuprofen, paracetamol, nimesulide or acetylsalicylic acid are prescribed.. It must be remembered that preparations based on acetylsalicylic acid and nimesulide are contraindicated for children under 12 years of age..

Antiseptics are used to relieve sore throat, soften the mucous membrane and reduce inflammation.. They are produced in the form of lozenges or lozenges (Strepsils, Septolete, Faringosept, Lidoxan). Such preparations contain antiseptic and analgesic components.. Tablets are kept in the mouth until completely dissolved.. After that, it is not recommended to eat or drink water for 30–40 minutes..

Gargles help relieve sore throat and reduce the severity of inflammation. Also, antiseptics are released in the form of aerosols (Septolete, Ingalipt, Tantum Verde, Oracept, Cameton). Such funds are used 3-4 times a day until the symptoms of the disease recede..

You can improve the condition with rinsing. For this, solutions of Furacilin, Chlorhexidine, Miramistin or Potassium permanganate are used.. Rinses that are prepared at home also have a good effect, adding a teaspoon of soda, salt and a few drops of iodine to a glass of warm water..

Streptococcal tonsillitis is usually treated at home.. Patients with concomitant chronic diseases or if there are suspicions of the development of complications receive a referral to the hospital.

In order to avoid infection with streptococcus, it is necessary to observe the rules of personal hygiene and avoid crowded places during the epidemic..

In order for the treatment to be successful, the following rules must be followed:.

observe bed rest, refuse physical activity and avoid stressful situations;

eat small meals up to 5 times a day. Preference is given to soups, mashed potatoes or liquid cereals. Just like drinks, they are slightly heated.. Exclude spicy, salty and sour dishes from the diet;

keep drinking regimen. At least two liters of liquid should be consumed per day (tea, dried fruit compote, fruit drink or non-carbonated mineral water). The temperature of drinks should be at room temperature in order not to irritate the inflamed mucous membrane..

The room where the patient is located should be regularly ventilated and wet cleaned in it.. The air in the room should be cool and humid, this will help alleviate the patient's condition..

Prognosis and complications If treatment is started on time and strictly follow all the doctor's recommendations, after 10-14 days the patient will fully recover and return to normal life. In other cases, the disease can become chronic and cause many complications, such as:.

stenosing laryngitis. Inflammation of the mucous membrane of the larynx, resulting in its narrowing, and the patient has signs of suffocation. Without timely medical attention, this can lead to death.;

otitis. Inflammation goes into the middle ear, causing severe pain;

sepsis. Infection of the blood leads to disruption of the internal organs and in severe cases can cause the death of the patient.;

glomerulonephritis and pyelonephritis. This is an inflammatory process in the kidney area, as a result of which kidney failure may develop.;

rheumatoid arthritis. This is an autoimmune disease that occurs after a sore throat and leads to joint damage.;

infectious myocarditis. Inflammation of the heart muscle, leading to disruption of the heart.

One of the possible complications of angina is rheumatoid arthritis. In order to avoid infection with streptococcus, it is necessary to follow the rules of personal hygiene and avoid crowded places during the epidemic. You also need to strengthen the immune system, eat right and get rid of bad habits.. If symptoms of the disease are detected, you should seek advice from an otolaryngologist or therapist.

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