El efecto del tratamiento antibiótico de corta duración versus estándar para la amigdalitis estreptocócica en niños. La amigdalitis. It partakes of the characters of angina. Anatomical Characters. affected part ; DISEASES OF THE ABDOMEN. Angina “Couenneuse” Angina Pultacea. This has been called, also, acute membranous angina, but not, as I think, with To this variety the term angina pultacea or caseiformis has been given by M.
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Tonsillitis is inflammation of the tonsilstypically of rapid onset. Treatment efforts involve improving symptoms and decreasing complications.
Common signs and symptoms include: In cases of acute tonsillitis, the surface of the tonsil may be bright red and with visible white areas or streaks of pus. The most common cause is viral infection and includes adenovirusrhinovirusinfluenzacoronavirusand respiratory syncytial virus. Staphylococcus aureus including methicillin resistant Staphylococcus aureus or MRSA Streptococcus pneumoniaeMycoplasma pneumoniaeChlamydia pneumoniaeBordetella pertussisFusobacterium sp.
Anaerobic bacteria have been implicated in tonsillitis and a possible role in the acute inflammatory process is supported by several clinical and scientific observations.
Under normal circumstances, as viruses and bacteria enter the body through the nose and mouth, they are filtered in the tonsils.
Sometimes, tonsillitis is caused by an infection pultace spirochaeta and treponemain this case called Vincent’s angina or Plaut-Vincent angina.
Pultwcea diagnosis of group A beta-hemolytic streptococcus GABHS tonsillitis can be confirmed by culture of samples obtained by swabbing both tonsillar surfaces and the posterior pharyngeal wall and plating them on sheep blood agar medium. The isolation rate can be increased by incubating the cultures under anaerobic conditions and using selective growth media.
This small percentage of false-negative results are part of the characteristics of the tests used but are also possible if the patient has received antibiotics prior to testing. Older antigen anyina detect the surface Lancefield group A carbohydrate. Bacterial culture may need to be performed in cases of a negative rapid streptococcal test.
However, this method is difficult to implement because of the overlap between carriers and infected patients. Increased values of secreted phospholipase A2  and altered fatty acid metabolism  in patients with tonsillitis may have diagnostic utility. Treatments to reduce the discomfort from tonsillitis include: When tonsillitis is caused by a virus, the length of illness depends on which virus is involved.
Usually, a complete recovery is made within one week; however, symptoms may last for up to two weeks. If the tonsillitis is caused by group A streptococcusthen antibiotics are useful, with penicillin or amoxicillin being primary choices. Individuals who fail penicillin therapy may respond to treatment effective against beta-lactamase producing bacteria  such as clindamycin or amoxicillin-clavulanate.
Aerobic and anaerobic beta lactamase producing bacteria that reside in the tonsillar tissues can “shield” group A streptococcus from penicillins. Chronic cases can be treated with tonsillectomy the surgical removal of tonsils as a choice for treatment.
Since the advent of penicillin in the s, a major preoccupation in the treatment of streptococcal tonsillitis has been the prevention of rheumatic feverand its major effects on the nervous system Sydenham’s chorea and heart.
Recent evidence would suggest that the rheumatogenic strains of group A beta hemolytic strep have become markedly less prevalent and are now only present in small pockets such as in Salt Lake City, USA. Complications may rarely include dehydration and kidney failure due to difficulty swallowing, blocked airways due to inflammation, and pharyngitis due to the spread of infection.
An abscess may develop lateral to the tonsil during an infection, typically several days after the onset of tonsillitis. This is termed a peritonsillar abscess or quinsy. Rarely, the infection may spread beyond the tonsil resulting in inflammation and infection of the internal jugular vein giving rise to a spreading septicaemia infection Lemierre’s syndrome. Patients pulltacea tonsils have been removed are still protected from infection by the rest of their immune system.
In strep throatvery rarely diseases like rheumatic fever  or glomerulonephritis  can occur. These complications are extremely rare in developed nations but remain a significant problem in poorer nations. From Wikipedia, the free encyclopedia. Archived from the original on 7 January Retrieved 30 September Otolaryngology—Head and Neck Surgery. The Cochrane Database of Systematic Reviews.
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Archived from the original on Oxford Textbook of Primary Medical Care. Archived from the original on 25 March Pultaeca 4 August Ferri’s Clinical Advisor Nelson textbook of pediatrics.
In Hoekelman, Robert A. Nour; Mafee, Mahmood F. Valbasson; Minerva Becker Imaging of the head and neck. Int J Pediatr Otorhinolaryngol. Acta Otorhinolaryngol Belg in Dutch. Expert Rev Mol Diagn.
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OPHTHALMOLOGY-EAR, NOSE AND THROAT PRACTICE
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Tonsillitis – Wikipedia
Archived from the original on December 14, Medical Journal of Australia. Amer Academy of Pediatrics. Diseases of angima respiratory system J— Atelectasis circulatory Pulmonary hypertension Pulmonary embolism Lung abscess. Lysosome granules biogenic amines Histamine Serotonin. Macrophage Epithelioid cell Giant cell Granuloma.
A culture positive case of Streptococcal pharyngitis with typical tonsillar exudate. Sore throatfeverenlargement of the tonsils, trouble swallowing, large lymph nodes around the neck . Viral infectionbacterial infection  . Based on symptoms, throat swabrapid strep test angian. Paracetamol acetaminophenibuprofenpenicillin . D ICD – Wikimedia Commons has media related to Tonsillitis. Head sinuses Sinusitis nose Rhinitis Vasomotor rhinitis Atrophic rhinitis Hay fever Nasal polyp Rhinorrhea nasal septum Nasal septum deviation Nasal septum perforation Nasal septal hematoma tonsil Tonsillitis Adenoid hypertrophy Peritonsillar abscess.