Follicular tonsillitis pictures

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Follicular tonsillitis - photos, symptoms and treatment

Follicular tonsillitis is an infectious disease that manifests itself as inflammation of the tonsils. In adults, sore throat can be caused by different types of microbes and is transmitted by airborne droplets or as a result of contact with dirty dishes or unwashed foods.

Table of contents:

The causative agents of this form of sore throat are most often streptococci and staphylococci. The disease occurs with weakened immunity, general or partial hypothermia of the body.

One of the most common varieties is the follicular form of tonsillitis, the treatment and symptoms of which we will consider today.

Causes

Why does follicular tonsillitis appear, and what is it? It occurs as a result of infection of the tonsils by bacteria that enter the body exogenously (from the outside) or endogenously (degeneration of its opportunistic flora occurs). The main cause of this disease is an infection called staphylococcus.

The occurrence of follicular tonsillitis occurs in the following situations:

  • entry into the tonsils of streptococci and staphylococci;
  • the presence of microbes that develop in the cold season;
  • significant hypothermia of the throat, which led to a general decrease in the body’s immune defense;
  • viruses of diphtheria, syphilis, pneumonia and others, which lead to inflammatory processes in the tonsils.

A weakened immune system can no longer contain opportunistic microorganisms, and they begin to multiply rapidly in the oral cavity, causing inflammation of the tonsils.

Remember that follicular tonsillitis is acutely contagious; in severe cases, the patient remains in the hospital. At home, the patient must be in a separate room, use exclusively personal items, and limit contact.

What happens to the tonsils?

With follicular angina, inflammation is localized in the follicles of the tonsils, in which pus is formed, which is visible through the mucous membrane in yellow-white foci. As the famous doctor Simanovsky said, the picture of the tonsils with follicular tonsillitis is very similar to the starry sky.

Over time, these purulent foci can merge with each other, forming one continuous purulent yellow-white plaque on the tonsils. Ulcers can melt tissue and burst into the throat.

Symptoms of follicular sore throat

Purulent follicular tonsillitis has certain symptoms that appear after an incubation period - usually this lasts no more than a day. Unlike catarrhal tonsillitis, purulent processes cause a more severe course of the disease.

Symptoms of sore throat begin acutely:

  • chills appear;
  • the temperature rises by several degrees;
  • severe weakness, feeling of aching in the lower back and joints;
  • loss of appetite is felt;
  • lymph nodes are enlarged and painful on palpation;
  • the palatine tonsils and the areas around them become swollen, inflamed and red;
  • festering follicles are observed - white or yellow plaques on the tonsils;
  • due to very strong and acute pain, it is difficult for the patient to swallow;
  • With a severe runny nose, it is difficult to breathe through your mouth and nose.

When examining the throat, swelling, swelling and severe redness of the tonsils (usually the palatine tonsils) are clearly visible. The surface of the soft palate and tonsils is covered with a scattering of white and yellow rounded dots (reminiscent of millet grains), which are festering follicles.

Since this sore throat is often combined with lacunar tonsillitis, the surface of the tonsils may become covered with a white coating, and ulcers form at the mouths of the lacunae.

Follicular sore throat in children

The disease begins with a feeling of severe malaise. The child may complain primarily of a sore throat and deterioration in health. Among the most popular symptoms, which also bring the most unpleasant sensations, are headache, aching joints, nausea to vomiting, and the inability to swallow food. All this occurs against the background of profuse fever and chills, which last about 2 hours, and then are replaced by a state of improvement. Body temperature rises sharply to high numbers.

This condition in a sick child lasts about 2 days, when the peak of the illness is reached. This symptomatology is accompanied by swelling of the pharynx and neck, rashes, cough and rhinitis, conjunctivitis, pain in the stomach area, and enlarged lymph nodes. The greatest difficulty for the child is breathing and swallowing.

Follicular tonsillitis: photo

What this disease looks like, we offer detailed photos for viewing.

Complications

Follicular tonsillitis looks unattractive in the photo, but this is not its most unpleasant property. It is threatening with severe complications from the cardiovascular system, kidneys and urinary system as a whole, and destruction of joints. It can become chronic and weaken the immune system.

That is why it is so important to recognize follicular tonsillitis in the early stages, differentiate it from other diseases with similar symptoms, begin treatment and complete it while maintaining bed rest and following the necessary hygiene recommendations.

Treatment of follicular tonsillitis in adults

To prescribe effective treatment, a smear is taken from the tonsils, which is then examined by laboratory methods to determine the causative agent of sore throat and its sensitivity to antibiotics.

In most cases, purulent acute tonsillitis is caused predominantly by group A beta-hemolytic streptococcus, sensitive to penicillins, cephalosporin antibiotics, and carbapenems.

At home, you need to follow some rules, which in the case of follicular sore throat will help cure it faster.

  1. An adult or child should limit activity and spend as much time as possible alone, preferably in bed. Violation of bed rest, and especially the performance of tedious duties, can sharply worsen the patient’s condition and aggravate the severity of the disease.
  2. The second prerequisite is drinking plenty of warm drinks. It is advisable to slightly change the patient’s menu during the illness. Food should be pureed and soft. Thanks to this, the already inflamed larynx will not be irritated, and swallowing such food is much easier. Diet table No. 13 is recommended.
  3. It is better for a sick person to allocate a separate room, ventilate it more often and carry out wet cleaning. Dishes, linen and towels should also be kept separate and boiled or doused with boiling water after use. Limit contact with the sick person, especially keep children away - they are especially susceptible.
  4. Frequent gargling is also considered the most important condition for proper treatment of follicular tonsillitis at home. You can use special antiseptics during the procedure, such as Iodinol, Dolphin, Lugol, Chlorophyllipt, Miramistin, furatsilin (2 tablets per glass of water), herbal infusions, a solution of soda and salt.
  5. Antibacterial therapy. To eliminate streptococcus, the most common cause, protected penicillins (Augmentin, Amoxiclav) are prescribed. If you are intolerant to the penicillin group, use other groups of antibiotics: macrolides (azithromycin), 1-2 generation cephalosporins (cefotaxime, cefuraxime). The dosage is individually prescribed by the attending physician according to age and severity of the disease.
  6. Anti-inflammatory and pain-relieving sprays help reduce irritation, relieve pain and make swallowing easier. Such drugs include Ingalipt, Kameton, Tantum Verde. You can also use various lozenges for resorption.

If you have follicular tonsillitis, the treatment of which was not started in a timely manner, and also if the antibiotic for tonsillitis was chosen incorrectly and the patient’s immunity is severely weakened, serious consequences may occur.

Antibiotics

Treatment of follicular tonsillitis with antibiotics should be carried out with strict adherence to individual doses, in accordance with the severity of the disease and the age of the patient.

Most often, antibiotics of the penicillin group are prescribed, such as Bicillin, Amoxicillin, and Benzylpenicillin. If the patient is allergic to penicillins, it is possible to prescribe antibiotics from the group of macrolides (Clarithromycin, Erythromycin, Sumamed, Azithromycin) or cephalosporins (Cefazolin, Cephalexin).

Remember that even if your condition has improved, in no case should you stop using the antibiotic, because if the course of taking the antimicrobial drug is incomplete, the pathogen develops resistance to this type of antibiotic, and the disease begins again, but in a more severe form, and the previous drug will no longer help.

It is also mandatory to use drugs that prevent the development of dysbacteriosis during a course of antibiotics. These include Linex, Bifidumbacterin, etc.

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3 comments

It’s better, of course, not to get this sore throat at all. I suffered so much from it as a child. Now at least there is a choice of drugs for every taste. I recently switched to homeopathic medicine. I buy Tonsilotren for my throat. It is safe and helps well. Even my son liked the pills. and the main thing for me is that I get cured.

I really like Yodangin Cocoa Butter. It relieves sore throat and is also antiviral. And the good thing is that it is completely natural.

Good article. The last time my doctor prescribed Lizobakt for a sore throat. I liked this drug, it’s convenient to take - you just dissolve the tablet. It quickly cleared up my throat.

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Source: http://simptomy-lechenie.net/follikulyarnaya-angina/

Follicular tonsillitis - main causes, symptoms and treatment methods

With follicular angina, inflammation of the follicles occurs, which is accompanied by regional lymphadenitis. Most often, the pathogens are hemolytic streptococcus, staphylococci, adenoviruses, pneumococci, etc. A sick person is contagious to others.

Causes of the disease

The main reason is a bacterial factor. The spread of infection occurs through the air: when coughing, talking, sneezing. You can become infected through household means, using shared utensils, through dirty hands. Infection is facilitated by a predisposition to the causative agent of the disease and a weakened immune system, weather conditions - after all, signs of this disease in adults and children appear more often in autumn, winter and spring.

Symptoms

This is what the disease looks like in the photo

  • Temperature degrees, difficult to reduce, lasts a long time;
  • Dry mouth, sore throat, severe cough;
  • Gradual swelling of the tonsils, increased sore throat, redness of the tonsil arches;
  • Severe symptoms of intoxication, chills, general weakness;
  • Pain and aches in the joints, lower back, headache - are difficult to relieve with painkillers;
  • In adults, stool retention is possible. In children - vomiting, loose stools, loss of appetite;
  • Follicular purulent tonsillitis gives symptoms of pronounced intoxication, resulting in disruption of the functioning of internal organs. Tachycardia and heart pain may appear;
  • Pain when swallowing radiating to the ear;
  • There is an increase in lymph nodes. They are painful on palpation. Sometimes severe salivation begins, which is associated with severe pain in the throat and the inability to swallow saliva because of this;
  • Formation of follicles on the tonsils. The follicles are the size of a millet grain. They rise in the area of ​​the tonsils and are filled with gray-yellow pus, which depends on the duration of the process. Upon visual examination of the throat, these purulent follicles are clearly visible.

In acute angina, changes in the blood count are observed: eosinophilia, increased ESR to 60 mm/hour, leukocytosis. On pharyngoscopy: swelling of the soft palate and palatine arches and tonsils, severe hyperemia of the arches.

The symptoms of follicular tonsillitis are pronounced and it is believed that its diagnosis is not difficult. However, you should be careful. There is a danger of making an incorrect diagnosis. The classic symptom of the disease - inflamed follicles on the mucous membrane of the tonsils of a brown-yellow color - is also a symptom of infectious mononucleosis. Both diseases are treated differently and require an individual approach.

Antibiotics are used in the treatment of follicular tonsillitis, but in infectious mononucleosis their use is strictly prohibited. Therefore, it is very important to do a timely microbiological smear analysis to establish a diagnosis. The attending physician will take into account many factors and prescribe the necessary treatment in this case. Online consultation and information from the Internet cannot replace an objective examination by a general practitioner.

In children

Most cases of follicular tonsillitis in children are associated with domestic infection in public places (schools, kindergartens, clinics, entertainment institutions). Finding it is not difficult for parents.

It begins acutely, with severe malaise. The condition worsens sharply and a sharp sore throat, nausea and vomiting, a sharp increase in temperature, and chills appear. This condition lasts for two to three days and is sometimes accompanied by skin rashes, swelling of the neck and throat, runny nose, cough, and conjunctivitis.

How and with what to treat

Another type of purulent sore throat in a child is the lacunar form

Antibiotics that are highly effective and have low toxicity are used according to indications. Probiotic medications are prescribed that will prevent the baby from developing dysbiosis (Bifiform baby, Bifidumbacterin, Linex). If a child has a runny nose, you need to rinse the baby's nose with saline solution or preparations containing sea salt (Aqualor, Aquamaris).

To relieve high fever, the doctor may prescribe injections of a lytic mixture consisting of a solution of analgin and diphenhydramine. There are antipyretic drugs in the form of syrup or effervescent tablets (Efferalgan UPSA, Panadol for children). This will help reduce the temperature and relieve swelling in the mouth.

For frequent complicated tonsillitis in children, surgical intervention is indicated - removal of the tonsils.

Tonsillectomy is prescribed for:

  • Decompensated form of chronic tonsillitis;
  • For chronic tonsillitis with toxic-allergic symptoms;
  • If swallowing and breathing are impaired due to hypertrophied palatine tonsils;
  • For purulent complications of tonsillitis (parapharyngeal phlegmon and various types of abscesses);
  • For tonsillitis that occurs seven or more times within one year.

When treating follicular tonsillitis, children may experience an allergic reaction with skin rashes. In this case, it is recommended to take antihistamines (Suprastin, Tavegil, Loratidine).

Complications

More photos of follicular tonsillitis

The deep tissue damage to the tonsils itself is a complication of the disease. After all, follicles—the glandular components of the tonsils—are involved in the pathological process. A breakthrough of the inflamed follicle inward threatens phlegmonous sore throat, or paratonsillar abscess.

When the disease occurs, swelling of the tonsils occurs with stagnation of lymph in the blood. Thrombosis occurs in small vessels, which leads to thrombosis and the formation of abscesses. Abscesses melt tissue, which heals with adhesions and scars.

If treatment is not started in a timely manner and the patient’s immunity is weakened, complications are possible: infectious-toxic shock, rheumatism, kidney disease, neck phlegmon, paratonsillitis).

In adults

Hygiene measures are very important. The patient needs to be provided with an individual set of linen and dishes. This will protect all family members from infection.

Maintaining bed rest will help protect against possible complications. To prevent dehydration, you need to drink plenty of fluids: herbal teas, dried fruit compotes, juices. The use of alkaline liquids (milk with soda, mineral water) is prescribed. This will help remove toxins accumulated in the body at high temperatures. The diet should be dairy-vegetable, rich in vitamins.

You cannot do without consulting a therapist. If there is plaque on the tonsils, the doctor will prescribe a smear test for diphtheria. After reviewing the patient's chart, the doctor must make sure that there is no allergy. The general practitioner will select the appropriate antibiotic for treatment. In the case of follicular tonsillitis, an antibiotic is a necessary condition, since it quickly eliminates the negative manifestations of the disease and prevents the development of complications.

Treatment with antibiotics

It should be carried out according to a scheme of individual doses, which depend on the severity of the disease and the age of the patient. Improvement in condition is not a reason to discontinue the drug. Of note is the antibiotic Sumamed, which belongs to the macrolide group. Its reception lasts three days (once a day). This is due to its accumulation in the body and its ability to have a long-term effect.

A very wide range of drugs is presented for both adults and children. You can name the following antibiotics used in the treatment of angina: Cefamezin, Solutab, Cephalexin, Ampicillin, etc. The duration of treatment, even if the condition improves, is at least ten days.

If the body temperature rises above 38 degrees, antipyretic drugs are given. This will improve the patient's condition. You need to gargle with a soda solution, adding 3-5 drops of iodine to the solution, with a chlorophyllipt solution (alcohol solution). This will help wash out the purulent plaque. Patients are prescribed absorbable tablets (Faryngosept, Streptocid). Irrigating preparations very well relieve pain and inflammation in the throat: Orasept and Faringo-spray, Givalex, Bioporox, Hexoral.

If there is no improvement in the patient's condition from the use of the selected antibiotic, the drug should be replaced. Along with antibiotics for follicular tonsillitis, drugs are prescribed that prevent the development of dysbiosis and protect the intestines. Linex can neutralize the harmful effects of antibacterial agents on the microflora of internal organs and prevent the development of dysbacteriosis.

Sometimes on day 4-5 the patient feels healthy. However, treatment cannot be suspended - it is contraindicated to go to work or attend classes in educational institutions. The body systems are very weakened. They are in a state of restructuring. To avoid the development of complications, a recovery period is needed, and this will take several more days. These days you need good fortified nutrition, rest and good sleep. And if the condition does not improve, then additional consultation with a doctor is necessary.

ethnoscience

Beetroot juice is highly effective for sore throats!

To boost immunity, offer the patient cranberry juice, tea with honey or raspberry jam. Aromatic teas made from linden flowers, rose hips, thyme herbs, blackberries, and raspberries are very useful.

At the beginning of the disease, you can chew half a lemon with zest. Do not eat anything for one hour to allow the citric acid and essential oils to work. It is possible to replace fresh lemon with a solution of lemon juice. You can gargle with it five to seven times during the day. Traditional medicine suggests using propolis in the fight against follicular tonsillitis. A piece of propolis is chewed after eating. The recommended dose is 3-5 grams of propolis per day. Good quality propolis will leave a feeling of numbness in the tongue and a burning sensation in the mouth when consumed.

For treatment, a decoction of pine needles is recommended. The needles are ground in a small amount of water, and then poured with water in a ratio of 1: 10. Then they need to be boiled for 30 minutes and left for three to four hours. Drink 1/3 glass, three times a day. This is a good anti-inflammatory agent.

It should be remembered that traditional medicine in the treatment of follicular tonsillitis is used only in addition to drug treatment methods!

Prevention

  • If someone in the family has recently had a sore throat, you need to take measures to disinfect household items.
  • It is important to sanitize foci of chronic infection (treatment of chronic tonsillitis, carious teeth).
  • Carrying out general strengthening and hardening procedures, it is useful to engage in general improvement of the body (playing sports, getting rid of bad habits).

Follow these simple recommendations to avoid getting sick, consult a doctor promptly and get treatment if you do get sick. Health to you!

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Follicular tonsillitis

Follicular tonsillitis is a type of tonsillitis that occurs against the background of an infection that has entered the body and affects the palatine tonsils of a person. Transmission of the disease occurs in two ways: airborne (through close contact with a patient) and food (using food contaminated with staphylococcus, streptococcus). The risk group for developing this infection includes children of preschool and school age, adults under the age of 35 with weakened immunity.

The difference between follicular tonsillitis and other types of tonsillitis lies in a more pronounced clinical picture and a change in the condition of the tonsils, which in this case acquire a bright red color of inflammation and are covered with follicles - small formations filled with purulent contents. Follicular tonsillitis is the most dangerous in terms of the occurrence of serious complications in the form of general suppuration of the tonsils, spontaneous opening of the follicle with its contents entering the blood.

Symptoms of follicular sore throat

The disease begins with an increase in body temperature to 38 degrees and above and is accompanied by symptoms characteristic of this condition: chills, headache, lack of appetite, weakness, aching bones and joints. Against the background of the development of follicular tonsillitis, there is usually an increase in the cervical, submandibular, and sometimes postauricular lymph nodes. Lymph nodes may acquire the size of a walnut and become slightly painful. This symptom persists for a long time even after completion of treatment.

In addition, the infection is accompanied by severe sore throat, which occurs in the first hours of the disease and quickly intensifies, with hoarseness of the voice. The pain may radiate to one or both ears at once. Also, this sign indicates the development of a sore throat complication in the form of otitis (inflammation of the ear cavity).

In persons who have suffered any serious infectious disease in the recent past, follicular tonsillitis may occur without pronounced symptoms and be accompanied only by general weakness of the body and a change in the condition of the tonsils.

In the blood of a patient with follicular tonsillitis, there is an increased ESR and leukocytosis (an increase in the number of white cells in the blood). His tonsils are hyperemic, there is significant swelling, and cavities filled with pus - follicles - are clearly visible through the mucous membrane of the organ. Their size can reach 5 mm or more, the color is predominantly grayish, white-yellow. Such pustules are located only on the tonsil affected by the disease and, as a rule, do not extend beyond it.

Treatment of follicular sore throat

Tonsillitis is a fairly serious disease that can lead to the development of health and life-threatening complications. Therefore, even if you yourself know how to treat follicular tonsillitis, it is recommended to consult a specialist. In addition, this infection should be differentiated from mononucleosis, which can only be done by resorting to some laboratory tests. The treatment of these diseases, which are similar in symptoms, differs significantly (antibiotics are contraindicated for mononucleosis).

The basis of treatment for follicular tonsillitis is antibiotic therapy. A specific drug is prescribed by a doctor, who takes into account the patient’s age, the presence of contraindications to treatment, etc. One therapeutic course is at least 10 days. It should be remembered that not every antibiotic is suitable for treating tonsillitis. Thus, streptococcus, which in most cases causes the disease, cannot be treated with drugs from the group of sulfonamides and tetracyclines. Usually, for follicular angina, Amoxicillin, Penicillin, and Erythromycin are indicated. In the absence of a positive effect, intramuscular macrolides are indicated.

Follicular sore throat in children

In children, follicular tonsillitis is more severe than in adults, and is more often accompanied by complications. If characteristic symptoms of the disease occur in a child, it is necessary to provide him with bed rest and seek medical help as soon as possible. The patient should not be given any medications without consulting a doctor.

In addition to antibiotics, which a specialist will definitely prescribe, it is recommended to gargle the child’s throat with a furatsilin solution every day and provide him with plenty of fluids (helps flush out the infection from the body). In this case, children under 5 years of age are advised to take aspirin (1/4 tablet three times a day). It is also recommended to give your child an antihistamine to prevent an allergic reaction. For example, Diazolin.

Improper treatment of follicular tonsillitis in a child can cause diseases of the musculoskeletal and cardiovascular systems. There are known cases of death caused by blood poisoning that occurred as a result of infection.

Information about similar diseases:

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1 comment »

Many people believe that follicular tonsillitis should be treated only with antibiotics. But my doctor has a different opinion and I completely trust him. I was prescribed Tonsilotren (a homeopathic medicine). I was treated with it when I had congestion in my throat. Dissolved within a week. Just like an antibiotic. Therefore, I don’t see any difference in the effect, but the safety is obvious. In general, I believe that homeopathy is the future.

Source: http://pro-simptomy-lechenie.ru/follikulyarnaya-angina/

How to recognize and treat follicular tonsillitis?

One of the forms of tonsillitis, in which the inflammatory process is observed in the tonsils, is called follicular tonsillitis. This is an infectious disease that most often affects children and adults (on average, life span).

With proper treatment, the disease has a very favorable prognosis; if the pathology is ignored, the disease causes inflammation of deep tissues and some organs, which leads to the development of severe complications.

Follicular tonsillitis can cause serious complications if not treated properly.

Development of follicular tonsillitis: routes of infection and causes of occurrence

The causative agents of the disease are infectious agents - hemolytic streptococci, pneumococci, staphylococci, some types of viruses and fungi. The place of introduction of bacteria is the tonsils; less often, the infection affects the lingual, nasopharyngeal and laryngeal areas.

The disease occurs in two ways:

  1. Exogenously. The pathogen enters from the outside - through airborne droplets, fecal-oral or household routes (with food, on household items, in water).
  2. Endogenous – the pathogen is in the body and causes disease against the background of decreased immunity. Infection can occur when infection penetrates from inflamed nasal sinuses, carious teeth, or hematogenously in gastrointestinal diseases.

Important! The main risk factor for the development of follicular tonsillitis is a decrease in immunity or the presence of immunodeficiency states.

Other risk factors favoring the development of infection may include:

  • Severe overheating or hypothermia;
  • Excess protein in the diet;
  • Allergic conditions;
  • Metabolic disorders;
  • Prolonged inhalation of dusty, polluted air;
  • Hereditary tendency to tonsillitis;
  • Stressful situations;
  • Parasitic diseases;
  • Physical and mental fatigue;
  • Vitamin deficiencies (especially lack of vitamin C);
  • Long-term chronic diseases.

The age factor also occurs in the development of follicular tonsillitis - people from 16 to 42 years old and children of secondary school age (6-12 years old) are more susceptible to the disease. In middle-aged and elderly people, this type of sore throat is quite rare and occurs in a mild form, without a pronounced clinical picture.

Features of the manifestation of sore throat in adults and children

The incubation period for follicular tonsillitis is quite short - symptoms begin to appear within the first day after infection.

Important! The first symptoms of follicular tonsillitis occur suddenly - the temperature rises sharply (up to 39 degrees), pain occurs in the tonsil area, which intensifies when swallowing and can radiate to the ear.

Upon examination, there is obvious swelling, swelling, and severe redness of the palatine tonsils in the throat (see photo). White or yellow round dots (purulent follicles) are visible on the surface of the tonsils and soft palate.

Types of sore throats - catarrhal, follicular and lacunar

Symptoms in adults

Against the background of the development of the first symptoms of follicular tonsillitis, signs of general intoxication of the body and manifestations of an infectious nature develop:

  • General weakness;
  • Darkening in the eyes;
  • Nasal voice;
  • Headache;
  • Tachycardia, heart pain;
  • Enlarged submandibular lymph nodes;
  • Increased heart rate;
  • Discomfort (ache) in the upper body, lower back, joints, muscles;
  • Loss of appetite;
  • Sweating, chills, feeling hot.

Purulent follicular tonsillitis without fever practically never occurs. This form of the disease can be observed with the catarrhal type of sore throat. In this case, the main symptoms of the disease are: redness of the tonsils, swelling of the tonsils and surrounding tissues, pain in the tonsils.

Symptoms in children

Follicular tonsillitis in children is usually more severe than in adults, and the risk of complications is much higher.

Characteristic features of follicular tonsillitis in children:

  • A sharp and acute onset, in which the child’s condition quickly deteriorates.
  • Temperature rises to 40 degrees (the temperature lasts a long time and does not decrease).
  • Sharp pain in the throat (accompanied by a dry cough, sore throat, dry throat);
  • General weakness, drowsiness;
  • Gastrointestinal disorders: abdominal pain, diarrhea, vomiting.
  • Sore throat often radiates to the ear.
  • Chills and fever.

Children tolerate follicular tonsillitis worse than adults

This condition can persist for 2-3 days. Along with the main symptoms, the child may experience a runny nose, cough, conjunctivitis, and skin rashes.

The symptoms of follicular tonsillitis are quite pronounced, but the disease during the initial examination can easily be confused with another infection (for example, mononucleosis or lacunar tonsillitis). For adequate treatment, the diagnosis should be made only by a doctor, subject to the appointment of additional studies.

Treatment methods for sore throat

Before treating follicular tonsillitis, an otolaryngologist conducts an initial examination, studies the symptoms and prescribes treatment after clarifying the diagnosis. Pharyngoscopy is prescribed, which helps to evaluate the characteristic signs of follicular tonsillitis - swelling, the presence and number of pustules. Additionally, a smear from the mucous membrane of the tonsils is taken (to determine the pathogen and the presence of antibodies to it) and a general blood test.

Treatment of the disease most often occurs in a hospital (in a separate box in the infectious diseases department). But treatment of follicular tonsillitis at home is also acceptable - provided that the patient is isolated in a separate room. However, if within a few days the patient’s condition has sharply worsened, or treatment does not bring tangible results, the patient should be transferred to a hospital.

Treatment with antibiotics

Based on the fact that follicular tonsillitis is bacterial in nature, antibiotics cannot be used in its treatment. These drugs provide antibacterial therapy, acting directly on the causative agent of the disease.

Penicillin drugs are usually used, and if they are intolerant, antibiotics from the macrolide group are prescribed.

Antibiotics for follicular sore throat:

Treatment with antibiotics is carried out according to an individual regimen and usually lasts 7-10 days (it is impossible to interrupt the course of antibiotics even if the condition improves!).

Note! If no effect is observed within the first 48 hours after starting antibiotics, the course of treatment should be changed.

Antibiotics are most often used in tablet form, but local use is also possible, where the Bioparox spray drug has proven itself best. In severe cases of the disease, antibiotics may be prescribed by injection or intramuscular injection.

Before starting treatment for a sore throat, you must visit an otolaryngologist.

Antiseptic therapy

Antiseptic therapy methods include gargling and rinsing, lubricating the tonsils, and using sprays and aerosols to irrigate the throat.

At home, gargling and rinsing the throat have worked well using:

  • Potassium permanganate (potassium permanganate);
  • Furacilina;
  • Miramistina;
  • Sodium chloride;
  • Nitrofural.

Rinsing should be done frequently (up to 5 times a day), because... their goal is to free the tonsils from purulent plaque, which helps prevent the spread of infection.

Lugol's solution is applied to the tonsil area.

For topical use use:

  • Lozenges: Sebedin, Strepsils, Gramicidin, Ambazon.
  • Aerosols: Hexoral, Tantum-verde, Orasept.
  • Herbal remedies: Delufen, Angin-Hel, Tonzilgon).

In inpatient conditions, physiotherapeutic procedures are prescribed (electrophoresis, UHF, magnetic therapy, ultraviolet irradiation). At home, you can carry out inhalations based on folk remedies and pharmaceutical preparations.

Additional and symptomatic therapy

To eliminate the symptoms of follicular tonsillitis and speed up the recovery process, the following medications are prescribed:

  • To reduce temperature - antipyretics (Panadol, Ibuprofen);
  • To reduce swelling of the tonsils - antiallergic (Suprastin, Zodak);
  • To strengthen the body - vitamin and mineral complexes;
  • For immunocorrection – Dekaris, Taktivin, Thymogen;
  • To neutralize the effects of antibiotics - Linex.

Weight medications should be used strictly according to the course of treatment. You should not stop treatment even if relief occurs after a few days. The entire course of treatment is recommended to rest in bed and limit physical and mental activity.

For follicular angina, it is necessary to undergo the full course of treatment, without stopping it after the disease subsides

Surgery

Surgical removal of the tonsils (tonsillectomy) is performed if the following indications exist:

  • If enlarged tonsils make breathing and swallowing difficult.
  • If drug treatment does not work;
  • If the surrounding tissues are involved in the purulent process.

The operation is performed under local (less often general) anesthesia. Manipulation has a number of contraindications and is prohibited in certain conditions (pregnancy, heart failure, etc.).

Treatment with folk remedies

Traditional medicine helps to significantly improve the patient's condition with follicular tonsillitis. Compresses, inhalations and rinses using natural remedies are widely used.

  1. Inhalations: carried out using boiled potatoes (in their uniforms) or with grated hot horseradish.
  2. Rinse: grate fresh beets (1 cup), add one spoon of apple cider vinegar. After an hour, squeeze out the beets and gargle with the product.
  3. Mix honey (2 tablespoons), vodka (50 g) and aloe juice (1 tablespoon). Make a compress and keep it on the neck area before going to bed (1-2 hours).
  4. Drop 5-8 drops of iodine into half a liter of boiled water, add salt (2 teaspoons). Gargle with the product every 2-3 hours.

Folk remedies for follicular tonsillitis are used only as an additional remedy in complex therapy. They cannot cure the disease.

Treatment of children with follicular sore throat

The treatment method for children with follicular tonsillitis has the same directions as therapy for adults.

Features of the treatment of follicular tonsillitis in children:

  • Antibiotics – choose drugs that have less toxicity and high effectiveness.
  • Probiotics - to prevent dysbiosis (Bifidumbacterin, Bifiform, Linex).
  • Antipyretics - syrups and tablets (Panadol, Efferalgan UPSA), injections (analgin plus diphenhydramine), suppositories (Cifecon).
  • Antihistamines - to reduce allergic reactions (Tavegil, Loratidine).
  • Vitamin and mineral complexes.

For follicular tonsillitis in children, antipyretic syrups are prescribed

If the child cannot gargle on his own, it is recommended to give plenty of fluids based on medicinal decoctions, and lubricate the throat with Lugol's solution.

Recommendations and tips

It is possible to cure follicular tonsillitis within 7-10 days if you follow the doctor’s recommendations and do not self-medicate.

How to cure follicular sore throat:

  • Taking antibiotics – without taking antibacterial drugs it is impossible to cure the disease.
  • Maintaining bed rest. You cannot endure the disease on your feet, even if relief comes after a few days. Untreated sore throat can lead to serious complications, including pathologies of the cardiovascular system, the development of arthritis and arthrosis, kidney disease, etc.
  • Raising immunity. It is necessary to use special vitamin-mineral complexes, harden yourself, and walk in the fresh air. This will help prevent the occurrence and development of the disease.
  • Stick to a diet. During the period of illness, you should adhere to a gentle diet - boil or steam food, and include more plant and dairy products in your diet.

Source: http://ru.all-parasites.com/bakterii/follikulyarnaya-angina-2348.html

Follicular tonsillitis - photos, causes, symptoms, treatment and complications in adults

Follicular tonsillitis is the most common form of inflammation of the lymphoid ring in the throat. The disease is accompanied by enlargement and inflammation of the cervical regional lymph nodes, into which lymph flows from foci of inflammation. The main risk group for the development of this pathology are children and young people, while follicular tonsillitis in adults after forty years of age is classified as a rare disease.

In adults, this disease occurs as an exacerbation of chronic tonsillitis, or as a result of complications of catarrhal processes. Lack of help for this disease leads to the development of many complications, so it is very important to know how to treat follicular tonsillitis correctly at home.

Features of follicular sore throat

Follicular tonsillitis is an acute inflammatory process of a purulent nature, localized in the follicles of the tonsils with the appearance of pinpoint purulent foci. Not only the mucous membrane of the lacunae is affected, but the follicles, which mainly comprise the parenchyma (internal tissue) of the tonsil, become inflamed. Several purulent follicles merge into an abscess called tonsillar.

Yellow spots of festering follicles are scattered over the entire surface of the tonsil. In the photo, ulcers with follicular sore throat resemble a starry sky.

According to the international classification of diseases, the disease is called follicular tonsillitis. It corresponds to the ICD-10 code – group J8.

According to the ICD 10 classification of diseases, purulent tonsillitis includes follicular and lacunar tonsillitis.

Causes

The etiology of follicular tonsillitis includes two factors:

  • exposure to infectious agents on the human body. The progression of this type of sore throat is provoked by beta-hemolytic streptococcus, fungi from the genus Candida, viruses and staphylococci of some subspecies;
  • decreased body reactivity. Hypothermia, hypovitaminosis, chronic fatigue, poor and irrational nutrition can contribute to this.

Routes of transmission of the pathogen:

  • aerosol, airborne, inhalation;
  • fecal-oral, with food, water;
  • contact-household.

Transmission factors, infected:

The causative agent of follicular tonsillitis does not necessarily have to enter the body from the external environment. In some cases, it may be permanently present in the body. The source of infection can be chronic inflammatory processes: caries, sinusitis and others.

Factors that provoke follicular inflammation are identical to any form of tonsillitis:

  • low immunity;
  • chronic tonsillitis, caries;
  • general hypothermia (clothing inappropriate for the weather, wet feet, etc.) and local (eating ice cream, cold water, etc.).

A seasonal and individual predisposition of people to sore throat has been noted.

The incubation period for tonsillitis ranges from several hours to 7 days. The disease itself lasts 5–10 days. Acute tonsillitis always begins with a catarrhal form, and after 2–3 days symptoms of follicular tonsillitis appear.

Symptoms and photos

In its pathogenesis, the symptoms of follicular tonsillitis go through several stages. Many of them resemble the clinical picture of influenza and ARVI, other types of tonsillitis, mononucleosis, and oral candidiasis. Incorrect treatment or lack thereof leads to the penetration of streptococcus into the blood and intoxication of the body.

Harbingers of follicular tonsillitis are inflammation of the mucous membrane of the soft palate, palatine arches, palatine tonsils:

  • the surface of the tissues of the oral cavity is hyperemic and covered with mucus;
  • the patient complains of a mild sore throat
  • examination reveals low-grade fever, moderate swelling, swelling of the mucous membrane, regional lymph nodes (cervical, submandibular) are enlarged and painful on palpation.

Within 1-3 days, in the absence of treatment, the first signs appear:

  • the temperature quickly rises to 39-40, treatment with antipyretic drugs does not bring results;
  • sore throat, dry cough, feeling of dry mouth;
  • gradual increase in sore throat, especially when swallowing;
  • tonsil swelling, redness;
  • symptoms of intoxication (body aches, weakness, chills);
  • pain in the head, joints, and lower back that cannot be relieved with analgesics;
  • dyspepsia – nausea, vomiting, stool disorders;
  • heart pain, tachycardia, arrhythmia;
  • hoarseness or complete loss of voice;
  • severe sweating, insomnia.

The photo shows that they are small in size (1-3 mm), white or yellow.

The symptoms of follicular tonsillitis in adults are very clear and characteristic. But in some cases they can be confused with a very dangerous disease - diphtheria. It occurs with similar symptoms, but the treatment is completely different.

With an acute process, characteristic changes in blood composition occur: the number of leukocytes increases, the leukocyte formula shifts to the left (band and segmented leukocytosis, and sometimes eosinophilia, are noted). ESR increases, sometimes even very significantly.

On days 5-6, the festering follicles are opened, the contents are poured into the oral cavity, and the patient’s condition is somewhat alleviated. Worsening inflammation—formation of a lacunar form, release of pus into the peri-almond tissue—even when treatment is started, is accompanied by:

  • increasing pain;
  • externally noticeable swelling of the neck;
  • stable hyperthermia;
  • continued difficulty swallowing;
  • increased pain in the lymph nodes.

If the patient still has the following symptoms 6 days after the start of treatment, this indicates a deterioration of the condition and the ineffectiveness of treatment:

  • worsening sore throat
  • elevated body temperature
  • difficulty swallowing
  • external swelling in the area of ​​the inflamed tonsils in the neck
  • soreness of the lymph nodes.

It is especially important to differentiate infectious mononucleosis from follicular tonsillitis, since the treatment of these two pathologies is fundamentally different. In the presence of mononucleosis, taking antibiotics is contraindicated, while the purulent form of follicular tonsillitis is treated only with antibiotics.

Complications

Acute inflammation observed in follicular tonsillitis, if the disease is severe, can lead to peritonsillar abscess - inflammation of the tissue behind the pharynx. This local complication of nearby tissues can be complicated by sepsis and cause heart damage.

Most often it occurs:

Diagnostics

Follicular tonsillitis - which doctor will help? If you have or suspect the development of this pathology, you should immediately seek advice from doctors such as an infectious disease specialist or an otolaryngologist.

A knowledgeable ENT doctor can easily and accurately determine the type of infection using a smear of purulent plaque from the pharynx and tonsils.

Only then can it be accurately determined which active antibiotic in this case can be prescribed to the patient in the treatment of follicular tonsillitis.

Treatment of follicular tonsillitis in adults

On the first day after the development of follicular tonsillitis, swabs from the patient’s throat and nose should be taken for Lefler’s bacillus (the causative agent of diphtheria), with which it is necessary to differentiate the sore throat. After this, treatment of the disease begins.

Effective treatment with medications is impossible without strict adherence to the following instructions:

  1. Bed rest, refusal to stay outside for 5-6 days to avoid a sharp deterioration.
  2. Drink plenty of warm drinks, especially still mineral water, milk with soda, herbal teas with rose hips, chamomile and sage. In order not to injure the inflamed mucosa, the temperature of the liquid should not be too high.
  3. The diet should be uniform, since when swallowing solid food significantly increases pain, the diet should be formed from liquid broths, soups, and cereals. It is also important to ventilate the room frequently and clean the room regularly (daily).
  4. Since the disease is quite contagious, it is necessary to isolate the patient and provide individual utensils and care items.
  5. The room where the patient is located must be cleaned and ventilated daily.
  6. Gargle constantly. To do this, you can prepare anti-inflammatory and antiseptic solutions at home, or purchase them ready-made at the pharmacy.

Antibiotics

Drug treatment of follicular tonsillitis necessarily includes broad-spectrum antibiotics. Their main task is to destroy the causative agent of the disease.

The following antibiotics are widely used for follicular sore throat:

The prescription of a particular drug for follicular tonsillitis should be etiologically justified and pathogenetically targeted.

A mandatory rule for all infectious disease specialists is to exclude the use of antibacterial drugs when the bacterial nature of follicular tonsillitis is not established, which is quite common in pediatric practice.

Unjustified prescription of antibacterial drugs inevitably leads to the formation of antibiotic-resistant strains of pathogens, which significantly complicates further treatment of patients.

Medications

Follicular tonsillitis is characterized by increased body temperature and pain of varying intensity. If necessary, the doctor prescribes medications to eliminate unpleasant symptoms.

  1. After taking antibiotics, it is advisable to prescribe probiotics to restore the intestinal flora - these can be the drugs "Linex", "Bifiform", or "Bifidumbacterin".
  2. Rinsing the mouth with antiseptic solutions (Chlorhexidine, Chlorophyllipt, Furacilin); rinsing should be frequent (2-3 times per hour), since the purpose of this procedure is not only to suppress microorganisms, but also to cleanse the surface of the tonsils from purulent deposits, and therefore prevent further spread of infection;
  3. Antihistamines such as Fenistil, Suprastin, Zyrtek or Zodaka relieve swelling in the throat and reduce the severity of the body's allergic response to antibiotics.
  4. The disease is often accompanied by rhinitis, which requires the use of nasal drops. For example, the drug Derinat, in addition to affecting the source of inflammation, also has an immunomodulatory effect, so it is often used in pediatric practice.

Surgery

The main indications for this procedure are:

  • ineffectiveness of antibacterial treatment;
  • enlarged tonsils, making swallowing and breathing difficult;
  • spread of the purulent process to nearby tissues.

The doctor recommends various methods of tonsillectomy:

  • wire loop and scissors method;
  • electrocoagulation or ultrasonic scalpel;
  • radiofrequency ablation;
  • removal of tonsils with a cablator;
  • carbon dioxide or infrared laser.

In the absence of dangerous complications from the heart, kidneys, or musculoskeletal system, the prognosis for follicular tonsillitis is favorable.

Folk recipes

It should be remembered that folk recipes do not replace drug treatment, and before using them you should consult a doctor.

  1. Gargling with soda, salt and iodine. In a glass of boiled water, put half a teaspoon of salt, the same amount of soda and 3 drops of iodine. Stir thoroughly. You can use sea salt instead of table salt.
  2. Grate raw beets (1 cup of prepared mass), add 1 tbsp. a spoonful of apple cider vinegar, mix and leave for 4 hours in a cool, dark place. After this, the composition is filtered and used to gargle.
  3. You can fight the infectious pathogen with the help of propolis. Chew a small piece of the product until soft and place it behind your cheek for a minute.
  4. Using aloe: take the lower leaves, rinse them with running water, then rinse with boiled water, dry a little, chop and squeeze out the juice. The resulting juice should be diluted with water in a 1:1 ratio and gargled every time after eating for several days.

Prevention

To avoid the development of the disease, you should pay due attention to your own health. Meaning:

  • healthy sleep;
  • rational and balanced nutrition;
  • moderate physical activity;
  • hardening;
  • timely adequate treatment of foci of chronic infection;
  • prevention of somatic diseases.

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