Pharyngotonsilitis

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Pharyngotonsilitis  is  an  acute  inflammation  of  the  pharynx  and  tonsils,  which  is  characterized  by  fever and a painful throat.  

Pharmacological Treatment 

B: azithromycin (PO) 500mg 24hourly for 3days. Children: 10mg/kg 24hourly for 3days 

OR 

B:  amoxicillin +  clavulanic  acid  (PO)(FDC)  Adults:  625mg  8hourly  for  7days  Children: 375mg 12hourly for 7days 

OR 

C:  clarithromycin  (PO) Adults:  500mg  12hourly  for  7-14days.  Children  ≥  6  months: 15mg/kg/day in 2divided doses for 7-14days 

OR 

S: cefixime (PO) Adults: 400mg 24hourly for 7-14days Children ≥ 6 months to 12 years (weight below 45kg): 8mg/kg 24hourly for 7-14days 

AND 

A: paracetamol (PO) Adult : 1gm 10mg/kg body weight 8 hourly until the fever is controlled 

OR 

A:  ibuprofen  (PO)  Adults:  200-400mg  4-8hourly  as  needed.  Children  ≥  6  months:  5-10mg/kg 4-8hourly as needed 

OR 

A: diclofenac (IM) Adults 75 mg 8hourly as needed 

OR 

C: diclofenac (PO) Adults: 50 mg 4-8hourly as needed 

OR 

C: diclofenac + paracetamol (PO) (FDC) Adults: 50mg diclofenac and 500mg paracetamol 4-8hourly as needed

Note: Refer the patient with tonsillitis to the specialist for tonsillectomy if 

• Chronic tonsillitis
• Recurrent tonsillitis (>5attacks in a year or 3 or more attacks in 2 consecutive years)
• Obstructive tonsillitis (causing an upper airway obstruction)

Surgical management 

• Tonsilectomy