suppurative tonsillitis
Introduction
Introduction to suppurative tonsillitis Suppurative tonsillitis, tonsil enlargement, general congestion and a large number of neutrophil infiltration, the crypt is filled with purulent exudate. Most of the pathogens are hemolytic streptococcus, followed by Haemophilus influenzae, Streptococcus pneumoniae, Staphylococcus and the like. Often onset, acute sore throat, accompanied by high fever (body temperature up to 39 degrees Celsius above) examination can be found tonsils swollen, hyperemia, the surface has yellow purulent secretions. Sometimes accompanied by submandibular lymph nodes, tenderness, and no abnormal signs in the lungs. basic knowledge The proportion of sickness: 0.1% - 0.25% Susceptible people: no specific population Mode of infection: non-infectious Complications: acute otitis media sepsis
Cause
Causes of suppurative tonsillitis
Cause:
The pathogen is B hemolytic streptococcus, staphylococcus, pneumococci. Adenovirus can also cause this disease. Mixed infections of bacteria and viruses are not uncommon. Bacteria may be invaded by the outside world, or may be bacteria hidden in the tonsils of the tonsils. When the body's resistance is weak due to cold, humidity, overwork, weak constitution, excessive alcohol and tobacco, and harmful gas stimulation, bacterial reproduction is strengthened. Caused. Sometimes it is a prodromal symptom of acute infectious diseases, such as measles and scarlet fever. Acute tonsillitis is often repeated episodes on the basis of chronic tonsils.
Prevention
Suppurative tonsillitis prevention
Keep fit, pay attention to rest, quit smoking and alcohol, stay away from harmful gases, and keep warm when temperature changes are obvious. Pay attention to environmental sanitation in life, indoors should have sufficient light, air circulation, and maintain proper temperature and humidity.
Complication
Suppurative tonsillitis complications Complications Acute otitis media sepsis
1, local complications: acute otitis media, rhinitis, sinusitis, pharyngitis, cervical lymphadenitis, abscess around the tonsils.
2, systemic complications: common rheumatism, acute glomerulonephritis, sepsis, arthritis, skin disorders (such as psoriasis), myocarditis, bronchial asthma.
Symptom
Suppurative tonsillitis symptoms Common symptoms High fever sore throat fatigue There are white spots in the tonsils, chills, chills, dizziness, convulsions, vomiting
1, systemic symptoms: acute onset, aversion to cold, high fever, up to 39 ~ 40 ° C, headache, dizziness and body acid, especially children can be convulsions due to high fever, vomiting or lethargy, loss of appetite, constipation and so on.
2, local symptoms: sore throat is obvious, especially when swallowing, severe can be radiated to the ear, dry mouth, children often cry because of the inability to swallow. Children who are unable to sleep when breathing due to tonsil hypertrophy often wake up at night. The tonsils are obviously enlarged, generally congested and a large number of neutrophils infiltrated, and the crypts are filled with purulent exudates. Most of the lesions, most lymphoid follicles increase, suppuration, the formation of multiple follicular abscess, and can be worn to the crypt or surface, forming ulcers, small abscess can also be fused, resulting in the entire tonsil suppuration.
Examine
Examination of suppurative tonsillitis
an examination
1, according to the diagnosis of tonsils.
2, hematology examination
When bacterial infection occurs, the total number of white blood cell counts is significantly increased, and the classification of neutrophils is significantly increased. When the initial infection of the virus was not combined with bacterial infection, the total number of white blood cells increased, and the lymphocyte classification increased significantly. Epstein-Barr virus infection caused infectious mononucleosis. In the case of acute tonsil inflammation, the total number of white blood cells and lymphocyte classification were significantly increased, and atypical lymphocytes were seen in blood smears. ESR can be accelerated.
Diagnosis
Diagnosis and differentiation of suppurative tonsillitis
diagnosis
According to typical medical history, physical signs, and auxiliary examination, the diagnosis of suppurative tonsillitis can basically be established.
Identification
Conventional identification with upper respiratory tract infection, acute pharyngitis, acute laryngitis, acute rhinitis, periorbital abscess, wisdom tooth pericoronitis, secondary infection of tonsillar tumors. Special cases, such as acute cryptic tonsillitis, must also be differentiated from angina caused by certain systemic diseases, such as infectious mononucleosis, leukemia, agranulocytosis, scarlet fever, pharyngeal diphtheria, epidemic hemorrhage Hot, etc.
