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Diagnosis and treatment of sore throat
Last reviewed: 04.07.2025
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Diagnosis of angina
Streptococcal tonsillitis is diagnosed based on clinical data (severe intoxication, bright hyperemia of the mucous membrane of the oropharynx, necrotic changes in the tonsils), epidemiological history (contact with a patient with streptococcal infection) and positive laboratory test results. Beta-hemolytic streptococcus is detected in mucus cultures from the oropharynx, and titers of antibodies to streptococcal antigens (antistreptolysins, antihyaluronidase, etc.) increase.
Treatment of angina
Treatment of streptococcal tonsillitis usually occurs at home. Only children with severe forms of the disease or complications, as well as children in whom it is difficult to exclude diphtheria of the oropharynx, are subject to hospitalization. Patients are placed in a box. Bed rest for 5-6 days, mechanically gentle food, and multivitamins are recommended.
To rinse the oropharynx, use the bactericidal drug tomicide, decoctions of chamomile, eucalyptus, sage, St. John's wort, as well as solutions of furacilin, potassium permanganate, etc.
Antibiotic therapy is mandatory. In mild and moderate forms, it is possible to limit the prescription to oral phenoxymethylpenicillin, erythromycin, amoxiclav, azithromycin in an age-appropriate dose. In case of intolerance to antibiotics, sulfanilamide drugs are given (bactrim, lidaprim, etc.).
Along with the antibiotic, probiotic treatment is carried out (Acipol, etc.). To improve the effectiveness of antibacterial therapy, it is recommended to prescribe Wobenzym, a polyenzyme drug with immunomodulatory and detoxifying effects. A good therapeutic effect can be achieved by prescribing bacterial lysates, especially Imudon.
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