Pharyngo-Tonsillitis
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Inflammation of the tonsils
Cause
- Streptococcal infection (most common)
- Viral infection (less common)
Clinical features
- Sudden onset, most common in children
- Sore throat
- Fever, shivering, headache, vomiting
- Tonsils enlarged and with exudate and cervical lymph nodes
Complications
- Local: peritonsillar cellulitis and abscess (quinsy),
- Systemic complications: bacterial endocarditis, glomerulonephritis, rheumatic fever (see Rheumatic fever)
Differential diagnosis
- Pharyngitis
- Submandibular lymphadenitis
Investigations
- Throat swab: For C&S
ManagementTreatment
Bacterial pharyngotonsillitis
- Phenoxymethylpenicillin 500 mg every 6 hours for 10 days
- Child: 10-20 mg/kg per dose
- Or Benzathine penicillin 1.2 MU IM single dose
- Child: <30 kg: 30,000 IU/kg
If allergic to penicillin
- Erythromycin 500 mg every 6 hours for 10 days
- Child: 12.5 mg/kg per dose
Viral pharyngotonsillitis
- Treat symptomatically with analgesics and increased oral fluids