ENT disease



sore throat Angina - a very common infectious disease caused by bacteria, viruses or fungi, a characteristic feature of which is the defeat of the tonsils.Also, inflammation can develop in nasopharyngeal, laryngeal, and lingual tonsils;Then angina respectively will nasopharyngeal, laryngeal or lingual. infection is like your own germs, and from the outside and there are two ways: food and air - drop.However, most internal infection comes from the throat or mouth (carious teeth, chronic. Inflammation of the tonsils, etc..)

Angina causes of

In most cases, the disease is a sore throat caused by streptococcus, staphylococcus, or pneumococcus, which mainly fallthroat with household items (dirty dishes, etc.), which had previously enjoyed a sick person with angina.Also, the emergence of this disease may contribute to various irritants that systematically fall into the pharynx (dust, smoke, etc.) And the presence of diseases of the nasopharynx (adenoids, etc.) In which the broken nasal breathing.Pur

ulent inflammatory processes taking place in the nasal cavity, paranasal sinuses (sinusitis, etc.) And oral cavity (carious teeth) is also quite often give rise to angina.

predisposing factors of angina are general or local hypothermia, mental strain, fatigue, infectious diseases, sensitization of the organism, beriberi

Angina symptoms

- Acute pain in the throat when consuming food and swallowing

- weakness and malaise

- Swollen lymph nodes

- aches in the joints

- Increased body temperature to 38 * - 39 * C

- soft palate, tonsils, uvula and palatal arch in the early days of the disease painted bright - red

- Directly on the tonsils may be pustules, or small areas of accumulation of pus

incubation period ranges from ten hours to three days.The disease always begins acutely: there is a fever, general body temperature rises, there is pain on swallowing, become painful and increases the regional lymph nodes.

main symptoms of angina are quite similar to the symptoms of the common cold, but with angina sore throat is much sharper for longer and carries it much harder

types of angina

Angina can be primary, secondary and specific.

Primary.Acute inflammatory disease that affects only lymphadenoid ring throat.

secondary.The tonsils are affected due to acute infectious diseases (diphtheria mononucleosis, diphtheria, scarlet fever, etc.), As well as diseases of the blood (leukemia, alimentary - toxic aleukia, agranulocytosis, etc.).

specific.Provoking factor is specific infections (fungal angina or angina Simanovskiy - Plaut - Vincent)

Types of angina

Depending on the depth and nature of the lesions of the tonsils, angina is divided into: lacunary, follicular, bluetongue and necrotic

lacunar tonsillitis

Tonsils are affected in the gaps with the subsequent distribution of purulent plaque on the surface of the tonsils.During the pharyngoscope observed infiltration and swelling of the tonsils, severe congestion and expansion gaps.Fibrinous - purulent yellowish - white contents of the gaps on the surface of the tonsils friable forms plaque in the form of a film or small lesions, which can be easily removed without leaving a bleeding defect


predominantly affects follicular unit tonsils.This tonsils swollen and hypertrophied, viewed through the epithelial covering festering follicles (pale - yellowish education up to five millimeters in diameter).Festering follicles opened, thereby forming a purulent plaque, which does not extend beyond the tonsils

Catarrhal angina

characterized by superficial lesions of the tonsils.The body temperature rises to 37 * - 38 * C, blood changes are minor or completely absent.Tonsils are increasing as a result of infiltration and edema.During the pharyngoscope observed bright diffuse redness, which captures the hard and soft palate, and the back of the throat.The disease occurs from one to two days, after which the inflammatory symptoms in the throat subside, or sore throat flows into another form (follicular or lacunary)

necrotic angina

to the form characterized by more severe local and general symptoms thanin other forms (pronounced persistent fever, confusion, repeated vomiting, etc.).The study of blood observed a significant increase in ESR, neutrophilia, leukocytosis.Affected tissue tonsils covers extending deep into the mucous membrane of gray or greenish - yellow plaque with dull uneven surface.Due to the impregnation fibrin frequently affected areas are sealed, and when removed the surface of bleeding.It is also quite deep, irregularly shaped tissue defects (up to two centimeters in diameter) are formed as a result of the rejection of necrotic areas.
necrosis may spread beyond the tonsil and: at the back of the throat, tongue and arch


pharyngoscope is the main diagnostic technique for suspected angina.In addition, it is taken into account the overall symptomatic picture of the patient complaints and medical history.

is also necessary to differentiate angina diphtheria, measles , scarlet fever, acute catarrh of the upper respiratory tract and acute diseases of the blood.To do this, in doubtful cases shall be additional diagnostic procedures: diagnostic puncture, bacteriological analysis of plaque on the tonsils, additional blood tests and other

Angina treatment

In most cases, treatment of angina on an outpatient basis, but in severe cases - conducted hospitalization ininfectious disease clinic.Attributed to light diet, rich in vitamins B and C, be sure to drink plenty of liquids.The basis for the treatment of angina is antibiotic therapy which includes the use of amoxicillin with clavulanic acid, penicillin, cephalosporins (Zinat, cefaclor, etc.), Macrolides (azithromycin, erythromycin) and sulfonamides (kotrimaksozol etc.).For topical treatment used bioparoks (fuzafunzhin) Faringosept, gramicidin C, rinse decoction of herbs (calendula, chamomile, etc.), Irrigation tonsils (ingalipt, kameton, sebidin etc.), Rinsing with antiseptic solutions (furatsilin, nitrofuralom).

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