Acute suppurative tonsillitis

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Recently, a group of Li Bingbing home for treatment of the pictures are the major media crazy turn, called the continuous high fever for 16

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Recently, a group of Li Bingbing home for treatment of the pictures are the major media crazy turn, called the continuous high fever for 16 days, the Australian doctors can not be confirmed, the night to check to know is suppurative tonsillitis. Today I also conform to the trend, talk about suppurative tonsillitis.

Pathogeny

Acute suppurative tonsillitis refers to palatine tonsil acute nonspecific inflammation was the main pathogenic bacteria of hemolytic streptococcus, Staphylococcus, Streptococcus pneumoniae etc.. Mostly due to the decline in the body's resistance to infection. The main pathogens through the afferent pathway of droplets, direct contact, usually hidden in the tonsillar crypts, when the body is due to fatigue, cold or other reasons, the resistance weakened, the rapid propagation of pathogens caused by disease.

Pathogenic mechanism

Figure 1 Schematic diagram of tonsillitis (source on the ytimg website)

Under normal circumstances, the integrity of the surface of the tonsil epithelium, mucus glands secrete, can be accompanied by the removal of bacteria with epithelial cells from the mouth of the mouth, in order to maintain the health of the body. When the body's resistance to decline, the bacteria multiply, tonsil epithelial defense function weakened, gland secretion function is reduced, tonsil will suffer bacterial infection and inflammation. Acute inflammation, inflammation of the tonsils from the beginning of the crypt, and soon into the tonsillar parenchyma, so that the tonsils are obvious congestion swelling, the recess is filled with exfoliated epithelium, pus cells, bacteria and other exudate, and then appear purulent.

Symptoms and signs

Patients with obvious sore throat, ear to radiation, systemic symptoms, accompanied by fever, chills, body temperature up to 38 DEG ~40 deg. Check can be found in local visible swollen tonsils, throat congestion, swollen tonsils with yellow white pus or pus, neck lymph nodes can be swelling and tenderness. Sometimes accompanied by submandibular lymph node enlargement, tenderness, and the body of the lungs without abnormal signs.

Diagnosis

The diagnosis of acute suppurative tonsillitis is generally easy to see, can be diagnosed according to the typical symptoms, history and examination. Blood routine examination showed that white blood cells and neutrophils were significantly increased.

Treatment

1 general treatment

Pay attention to rest, light diet, drink plenty of water, quit smoking wine, strengthen nutrition and maintain defecate unobstructed. For high fever and dysphagia, should be appropriate to add liquid and electrolyte.

2 antimicrobial therapy

Because of this disease for streptococcal infection, use of antibiotics and sulfa drugs, curative effect is better. Penicillin is generally preferred, penicillin allergy can choose erythromycin, lincomycin, etc.. For example, if the condition is serious or not alleviated with penicillin, two generations of cephalosporins can be selected. If the occurrence of local complications such as peritonsillar abscess, can be given to the third generation cephalosporins and combination of intravenous metronidazole or single use of quinolones treatment, peritonsillar abscess can be puncture or incision and drainage.

3 other treatments

For patients with fever can be treated with physical cooling. Non steroidal anti-inflammatory drugs can be given to high fever. Repeated acute suppurative tonsillitis, to control inflammation after tonsillectomy.

Prevention

Pay attention to exercise, enhance the body's resistance to prevent colds, strengthen oral hygiene, sooner or later, gargle with salt water, can feel salty is appropriate for recurrent acute suppurative tonsillitis also can use mouthwash.

 

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