Purulent angina in adults - symptoms and treatment, photo

Angina is quite justifiably one of the most common diseases that affect adults.The causative agents of this infectious disease are staphylococci, streptococci, pneumococci and adenoviruses, the main "blow" which always falls on the tonsils.

Depending on the specific tissue lesions, angina is subdivided into catarrhal, necrotic, purulent, herpetic.

Each of these species has similar symptoms, but it also differs in some features, including treatment methods. Peaks of angina usually occur in the fall and spring - seasons, characterized by high humidity.

Classification

By classification, there is no such thing as purulent angina. Tonsillitis (angina) according to the classification of Soldatenka I. B. divided into:

1. Acute tonsillitis (here include catarrhal, lacunar, follicular, ulcerative-necrotic angina).
2. Chronic tonsillitis (distinguish between two forms, the combined and decompensated form of chronic tonsillitis).

Purulent angina primarily implies an acute tonsillitis (lacunar or follicular form). This is due to the fact that when examining the tonsils, on their surface you can see purulent films, as well as liquid pus in the lacunae of the tonsils.

What is the difference between purulent sore throats from each other?

There are 3 forms of this disease:

1. Follicular. The easiest form of purulent sore throat, when pus accumulations are visible through the epithelium in the form of small dots. Usually, the follicular sore throat rarely runs without temperature.
2. Lacunar. In this case, the lacuna is filled with pus, therefore, on the tonsils, an original pattern is formed of light strips, not dots.
3. Phlegmonous. It is one of the most severe forms of the disease, since purulent melting of the amygdala occurs here, which requires in-patient treatment.

How to treat purulent sore throat in an adult will directly depend on the symptoms and the form of the ailment.

Causes

Purulent angina in the vast majority of cases is an infectious disease caused by group A beta-hemolytic streptococcus. This pathogen is found in about 60-80% of cases of purulent angina. Most specialists still tend to attribute angina to streptococcal infectious diseases. However, the possibility of purulent angina of staphylococcal and pneumococcal origin is not ruled out. There are also descriptions of angina leafereletic etiology.

Source of infection - patients with sore throat or healthy people who carry streptococci. Is purulent sore throat? Of course, yes, if you do not adhere to the rules of hygiene and do not wear a protective dressing when you contact the sick person.

There are always microbes in special indentations of palatine tonsils (lacunae). With normal immunity, they do not cause disease. butthere are a number of factors triggering the launch of an infectious processa:

1. Subcooling the body, sudden temperature changes, cold drink and food.
2. Mechanical damage to palatine tonsils with further infection.
3. Avitaminosis, the presence of concomitant inflammatory diseases of nearby structures.
4. Transfer of streptococcal infection through the body.
5. Immunodeficiency, diseases that cause a decrease in immunity.
6. Ingestion into the mouth of a fungal or bacterial infection.

In these cases, the protective forces of the entire body are reduced and, first of all, it occurs in the tonsils. When the process is started, the pathogenic microflora penetrates deep into the tonsils, causing their acute inflammation - angina. How to treat this ailment and whether antibiotics are needed for this, we will consider just below.

Symptoms of purulent sore throat

In the case of purulent angina, symptoms in adults can have varying degrees of severity, depending on the form and neglect of the infection process. Also, angina is able to leak and without a significant rise in temperature. In this case, the main and determining signs are pain in the throat, changes in the appearance of the tonsils: redness, swelling of the mucosa, pustules and plaque on the tonsils.

However, most often purulent angina in adults is characterized by the following symptoms (see Fig. a photo):

• acute onset of the disease: increased temperature to 40 C and even higher;
• fever;
• pronounced intoxication (headache, lack of appetite, strong weakness);
• acute pain in the throat, most strongly felt when swallowing food and saliva;
• morbidity and inflammation of the submaxillary lymph nodes;
• swelling and redness of palatine tonsils, posterior pharyngeal wall and small tongue;
• swelling of the neck;
• rashes on the skin;
• abdominal pain;
• the presence of purulent foci, raids on the tonsils, which are easily removed with a medical spatula, without injuring the mucous membrane.

The incubation periodpurulent sore throat can be from 2 to 5 days. Symptoms of the disease appear quickly enough, and one of the first signs, as a rule, is a chill, followed by a strong fever. A characteristic feature is that the tenderness in the throat gradually increases, starting bother from a simple feeling of discomfort to severe pain, whether or not associated with swallowing.

Treatment of the purulent form of the disease lends itself to a rule common to all ailments: the earlier it begins, the sooner the recovery will come and the less the complication will be. That is why, in order to quickly cure purulent sore throat, measures must be taken at the appearance of its first signs.

Purulent angina pics

How does purulent angina look like, we offer detailed photos to view.

Effects

Purulent angina is dangerous for its complications, which can be either late or early.

To the earlyrelate:

• sinusitis;
• otitis;
• laryngitis;
• purulent lymphadenitis;
• abscesses of soft tissues.

Latercan develop:

• meningitis;
• rheumatism;
• glomerulonephritis;
• polyarthritis;
• pyelonephritis.

The prognosis with timely and qualitative treatment of the disease is favorable.

Treatment of purulent sore throat

With purulent angina, it is extremely important to start treatment in time to avoid possible complications in the form of phlegmon and abscesses in the neck, pathologies of the cardiovascular system, kidney and joint diseases.

The approximate scheme of treatment of angina in adults is as follows:

1. In the acute period of the disease, the patientbed rest is shownwith the restriction of contact with others and the observance of voice dormancy.
2. Treatment is rarely without admissionantibiotics. Adults prescribe antibacterial drugs of the penicillin group: amoxicillin, cephalosporins of the first, second or third (cefadroxil, cephalexin, cefuroxime, cefixime), amoxiclav, and macrolides (clarithromycin, azithromycin).
3. Appointmenta local antibioticBioparox with purulent angina is no less important than conducting systemic antibiotic therapy. This drug acts directly on the inflammation focus, killing the bacteria immediately, in place.
4. In the case of high fever or severe pain, the use of painkillers containing ibuprofen and paracetamol is recommended to alleviate the patient's condition.
5. You can gently gargle with solutions of aqueous antiseptics in the form of liquids or special sprays (lyugol, chlorhexidine, ingalypt, chlorophyllipt, tablets for resorption of trachis, yox, oraccept, throat, etc.).
6. Antihistamines. Their use will ensure reduction of edema and pain in the throat, as well as reduce common toxic manifestations. The most common are claritin, tavegil, erius, mefenamic acid, paracetamol, nurofen.
7. Food should bediverse, rich in vitamins, but the main rule is the absence of irritating factors. All dishes are served warm, mashed, semi-liquid, without spices and spicy sauces.
8. Showingcopious warm drink.

Remember that if you start a sore throat, you can get very serious complications.

Than gargle?

Patients are advised to gargle with special antiseptic solutions. For these purposes, a solution of furacilin, givalex. The procedure should be conducted up to 5-6 times a day for several minutes. You can also use sprays of identical composition: hexoral, inhalipt, tantum verde.

A couple of folk ways:

1. Infusion of chamomile, calendula flowers, eucalyptus is a miracle cure for gargling. We take 1 tbsp. l. collection for 1 tbsp. boiling water. The resulting mixture must be insisted, cooled and rinsed with purulent sore throat.
2. In a glass of warm water, add one teaspoon of salt, one baking soda and 5 drops of iodine mix thoroughly until the ingredients are completely dissolved.
3. Another no less valuable infusion of chamomile, St. John's wort, calendula is used since ancient times. You need to take 1 tablespoon. collecting for 1 cup of boiling water. Then insist, cool and rinse.

Rinses will help relieve soreness in the throat.

Antibiotics

More often than not, experts prescribe penicillin drugs. They are perfectly absorbed in the body, have pronounced bacteriostatic and bactericidal characteristics.

Patients are assigned a semisynthetic antibiotic Amoxicillin, an antibiotic from the cephalexporin cephalexin group, Sumamed, Cephazamine or macrolide drugs may be prescribed. For treatment, also use Clindamycin, Phenoxymethylpenicillin, Erythromycin.

Choose a suitable drug, prescribe dosage and duration of admission should only the doctor. It is important to pass the course of antibiotic treatment to the end, even if the symptoms of the disease have significantly decreased.

How to treat purulent angina at home

When streptococcal tonsillitis infection is established, treatment of purulent sore throat at home should necessarily include antibiotic therapy. The drug and its dose are prescribed by a doctor.

Folk remedies:

1. Natural propolis should be resorbed or chewed each time after eating and rinsing. Daily use no more than one teaspoon of propolis, dissolving each portion of it for 20-30 minutes.
2. Broths of chamomile, calendula. They soothe the mucous, removing irritation, itching, discomfort in the throat. They are considered to be folk remedies, but these plants are widely used and official medicine. Rinsing them with decoctions promotes the removal of pus, which improves the condition of the patient, reduces the severity of symptoms of sore throat.
3. Salt, soda solutions. Used for rinses, inhalations, compresses. They act warmly, create an unfavorable environment for pathogenic microorganisms, remove phlegm from the walls of the mucous throat.
4. Furacil. Used as a solution for rinsing, throat irrigation. It is active against the most common pathogens of angina bacterial nature.

Folk recipes can only be used to relieve symptoms, they can not cure angina.

Prevention

Specific prevention of acute tonsillitis does not exist.

To prevent the disease, you should pay maximum attention to your own health: it is rational to eat, fully rest, lead an active lifestyle. Important timely diagnosis and sanitation of foci of chronic infection in the body, as well as hardening.

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