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Fungal angina
Last reviewed: 23.04.2024
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Fungal angina (candidiasis angina) is an infectious and inflammatory disease that is caused by the yeast-like fungi Candida albicans or Leptotryx buccalis in symbiosis with pathological cocci.
As a result of infection in the patient, changes in the oropharynx are observed: the pharyngeal ring and palatine tonsils become red due to the inflammatory process, and also become covered by a white coating due to the multiplication of the fungus pathogen.
It should be noted that the incidence of fungal angina has increased significantly in recent decades and occurs in both adults and children. Often, such an angina accompanies other diseases (acute respiratory viral infection, influenza) and develops as a result of prolonged antibacterial treatment, which caused a general dysbiosis, against a background of weakened immunity, when the protective forces of the human body are reduced, and it can not cope with the pathogenic microflora (in this case - yeast-like fungi).
Fungal angina, or pharyngicosis presents a danger for the following categories of people:
- people suffering from oral diseases;
- Newborn children, whose immunity is very weak;
- lovers of methods of fasting and various diets;
- people with bad habits: a propensity for alcoholism, drugs, and also HIV-infected;
- people who use dentures for a long time.
Causes of fungal angina
Fungal angina refers to a specific type of angina and develops due to dysbiosis, - in fact, this is the main cause of the disease. Therefore, it is necessary to treat, first of all, dysbacteriosis, which arises as a result of any changes in the body, for example, changes in diet, prolonged intake of antibiotics, immunosuppressants or corticosteroids, a little noticeable course of the inflammatory process. All these factors provoke weakening of the immune system.
The causes of fungal angina can be hidden in immunodeficient states of the body, avitaminosis, hypovitaminosis, and chronic tonsillitis. According to medical data, more than 50% of people who suffer from chronic tonsillitis have fungal angina. In addition, the development of fungal angina is promoted by the transferred severe diseases, as a result of which the composition of the microflora changes. The disease is caused by specific infectious agents (fungi, spirochetes, etc.).
The general symptoms of fungal angina are usually not expressed, or very poorly expressed. To clarify the diagnosis, additional medical research is needed. In particular, with pharyngoscopic examination, you can identify a white or yellowish coating on the tonsils, which sometimes spreads to the mucous membrane of the tongue and cheeks. With the bacteriological study of fungal tonsillitis, yeast-like Candida fungi can be detected in the oral cavity.
Treatment of fungal angina is carried out using modern antifungal antibiotics and pharmacological sprays, washing tonsils with antiseptic solutions, as well as using restorative therapy.
Symptoms of fungal angina
Fungal tonsillitis often occurs asymptomatically, while the person does not feel any major changes in the form of a sharp increase in temperature or severe pain in the throat, as is the case with acute tonsillitis. In some cases, the patient may have weakness in the body, as well as a headache amid a general malaise. There is a slight increase in the size of regional lymph nodes without painful sensations.
Symptoms of fungal angina, which belong to the most typical:
- appearance in the throat of white or yellow-white coating (on tonsils, tongue, cheeks, sky);
- bad breath;
- discomfort in the throat: perspiration and mild pain when swallowing;
- change in taste.
It is important to diagnose fungal angina in a timely manner, because in the absence of proper treatment the fungus can spread throughout the mouth, as indicated by the appearance of a plaque not only on the tonsils, but also on the tongue, cheeks, gums. Because of the development of fungal tonsillitis, there is often a decrease in the sensitivity of taste buds. In addition, when removing fungal deposits, the oral mucosa can bleed. Treatment is important to start on time, so that in a severe case the infection does not spread to the esophagus.
Fungal angina in children
Fungal angina is quite common in newborns and young children. This fact is explained by the fact that the immune system of a small child is poorly formed and easily susceptible to various infections. They can cause even those microorganisms and bacteria that adults will not cause any harm. The causative agents of fungal tonsillitis in children are such yeast-like fungi as Candida albicans, much less often - Candida Tropicalis and Candida Glabrata.
Fungal angina in children often occurs without any symptoms. They can be identified in a visual way. The disease manifests itself as the appearance in the mouth of the child (including the mucous cheek, gum and tongue) of white or yellow-white plaque, which can be easily removed. In addition to this symptom, fungal tonsillitis can cause moodiness and irritability: the child becomes more whimsical due to the presence of pain in the throat.
The newborn becomes especially capricious during breastfeeding because it hurts to swallow milk. In addition, a child can easily infect a nursing mother with fungal tonsillitis. There are cases when the disease can not be treated for a long time, because it is constantly transmitted from the infant to the mother and back. If infection occurs, the nursing mother will notice the itching and redness of the skin, as well as the pain in the nipple area. That is why it is so important to identify the disease in time to begin intensive treatment.
Diagnosis of fungal angina
Fungal angina, in addition to examining the pharynx (pharyngoscopy), requires special medical diagnosis to determine the main causative agent of the disease. If a symptom of this disease is found, you should contact the medical center for medical examination and delivery of bacteriological culture.
Diagnosis of fungal angina is carried out by bacteriological examination of a smear taken from throat. For analysis, a plaque is taken in which the presence of yeast-like fungi such as Candida Albicans is determined. Sometimes you may need a blood test, as well as a diagnostic puncture. In general, the diagnosis of fungal tonsillitis is based on the results of microscopic examination and the detection of the fungus pathogen. For accurate diagnosis, skin tests with fungal allergens can also be used.
Ineffective self-treatment of fungal angina, as well as untimely treatment of an ENT doctor can turn into a serious complications for the patient. Of these, we can identify the prevalence of fungal infection throughout the oral cavity and esophagus, and in severe cases - bleeding from the tonsils, laryngeal edema, abscesses and phlegmon.
What do need to examine?
How to examine?
What tests are needed?
Who to contact?
Treatment of fungal sore throat
Fungal angina requires a special approach to treatment. First of all, it is necessary to cancel antibiotics, which caused dysbacteriosis. With long-term administration of antibacterial drugs for the prevention of fungal tonsillitis, simultaneous administration in preventive dosages of nystatin or fluconazole is necessary. In addition, in order to restore the normal microflora of the body, the patient should include in the diet of sour-milk products, fortifying agents and vitamins.
Treatment of fungal angina consists of the following stages:
- reception antiseptic antifungal drugs (Miramistin, "Geksoral");
- Irrigating the throat with iodinol solution, povidone iodine or quinazole;
- Treatment of affected areas with iodinol, 5% silver nitrate solution, Lugol solution, or 2% methylene blue or 2% gentian violet;
- use in large doses of vitamins of group B and C;
- reception of immunostimulating drugs;
- ultraviolet irradiation of the sky and tonsils.
Effective is treatment with Itraconazole - an antifungal agent that destroys the fungus, thereby preventing the spread of a dangerous infection throughout the body. In severe cases with fungal angina intravenous administration of Fluconazole is used, and for patients with advanced HIV infection, a potent drug such as Amphotericin can be prescribed.
From home remedies, you can use the rinsing of a fungal infection of the throat with a diluted solution of apple cider vinegar. It is necessary to consume liquid in large quantities, to include in the daily diet fresh fruits and vegetables. Will help relieve the pain in the throat of inhalation and compresses.
To rinse your throat, you can also apply infusion of Kalanchoe or propolis. That such rinses give the desired effect, it is necessary to carry out procedures three times a day for 5 days. To this end, you can also use honey mixed with lemon juice and diluted with warm water. As a means for rinsing the affected throat, a decoction of medicinal plants is used: St. John's wort, streaks, chamomiles, horsetail herbs, tricolor violet flowers and pine buds. Ingredients to mix, pour boiling water and insist for 2-3 hours.
In order to treat fungal sore throat was effective, it is necessary to strictly follow the recommendations of the doctor. The competent approach of the medical specialist is the right step on the way to a quick recovery.
Than to treat a fungal quinsy?
Fungal angina is most often caused by the use of antibacterial drugs or corticosteroids. To get rid of this disease, first of all, you need to adjust the dosage of the antibiotic, or pick up its counterpart. It may be necessary and complete cancellation of the antibacterial drug. For the treatment of fungal tonsillitis, it is necessary to use general strengthening therapy, vitamin therapy, as well as immunotherapy. In most cases, washing of affected tonsils with solutions of antimycotics - nystatin, levorin or quinazole - is used.
When symptoms of fungal tonsillitis are detected, many people have the question: "What is the treatment for fungal angina?" First of all, you need to follow the doctor's prescriptions, as well as use alternative medicine methods, in particular, rinsing the herbs with decoctions of medicinal plants. Among other means for home treatment of candidal sore throat:
- Garlic. It has a natural antibacterial property and a pronounced antifungal activity. You can eat it fresh or drink capsules.
- Yogurt (preferably natural, with probiotics). Promotes the restoration of impaired microflora, thereby reducing the manifestations of fungal infection.
- Tea tree oil. Add a few drops in a glass of warm water and use to rinse the throat 2-3 times a day for 2-3 minutes.
In order not to complicate the course of the disease, it is recommended to give up sweets (sweets, cakes, ice cream) and sugar, as it promotes even more reproduction of the Candida Albicans fungus. According to some medical experts, with candidiasis angina, it is necessary to limit the use of yeast and soy products, eggs, peanut butter, caffeine-containing beverages, and foods containing a large number of harmful food additives. Food, first of all, should be balanced, but strict dietary restrictions should not be adhered to. If, despite the appropriate therapy, fungal angina has passed into a protracted and relapsing stage, surgical treatment is used.
Treatment of fungal angina in children
Fungal angina requires special attention and approach in the treatment of children. The course of the disease should be controlled by the attending physician. It should be emphasized that an untimely appeal to a medical specialist or neglect of a disease often leads to the transition of fungal tonsillitis into a chronic form, as a result of which various complications can occur. Basically, such complications are associated with a violation of the internal organs (heart, kidneys, lungs, possibly the development of rheumatism, etc.).
Treatment of fungal angina in children, first of all, is to eliminate the main cause of the disease, as well as to observe the rules of a balanced diet. So, in the daily diet of the child must be present fresh fruit, berries, vegetables, as well as natural foods rich in protein and vitamins.
Treatment includes medical therapy - taking modern antifungal agents with courses from 10 to 14 days. Most often, Nystatin is used for this purpose: the dosage of the drug for children from birth to 1 year is 125 000 units, from 1 to 5 years - 250 000 units, over 13 years - 500 000 units.
Naturally, each case is individual, therefore, a doctor prescribes preparations for the treatment of fungal angina in a child, as well as the dosage of medicines. In severe cases, several intensive care courses may be necessary.
In addition to taking antifungal drugs, antiseptic solutions are used in the treatment of cystic angina in children, of which Givalex, Geksoral and Tantum Verde, as well as brine and peroxide, can be isolated. In addition, from the alternative means, which have pronounced antimicrobial properties, are used infusions of medicinal plants - calendula, celandine, sage or chamomile. A positive therapeutic result is given by daily rinsing of the throat with a solution of lemon juice or fruit vinegar, tk. The fungus most quickly perishes in an "acidic" environment.
Prevention of fungal angina
Fungal angina is the result of weakened immunity, so the prevention of this disease reduces to strengthening the body's defenses. To this end, it is important to lead a healthy lifestyle, avoid hypothermia, take care to increase the body's resistance to sudden temperature changes.
Prevention of fungal angina consists of several points:
- General hygiene measures. In the case of fungal angina, the patient should be isolated from other family members in order to avoid their infection.
- Observance of elementary rules of personal hygiene. You must remember the individual use of dishes, towels, as well as toiletries.
- Balanced, rational nutrition. Food should meet the age requirements and contain a sufficient number of proteins, fats and carbohydrates. In addition, you should remember about vitamins and regularly enter them into your diet.
- Timely detection of foci of chronic infection: caries, sinusitis, purulent skin lesions, etc., their competent treatment after consulting a doctor.
- Hardening of the body. To this end, all methods are good: douche, wiping, sports training, taking a contrast shower, swimming in the pool, walking barefoot, etc. It is important to remember that such procedures for hardening can be carried out only outside the period of exacerbation of the disease.
- Strengthening of immunity. To this end, you can use immunomodulators of bacterial origin (Bronchomunal, Ribomunil), probiotics, as well as drugs to stimulate cellular and humoral immunity (Interferon, Timalin, Likopid), vitamin complexes.
In general, preventive methods aimed at preventing fungal angina and other diseases are a very laborious process. It is very important in this matter to trust the recommendations of a medical specialist and strictly follow its instructions. Only in this case it is possible to achieve positive results.
Prognosis of fungal angina
Fungal angina occurs as a result of the rapid multiplication of yeast-like Candida fungi and is most often caused by prolonged treatment with antibiotics, which leads to intestinal dysbiosis, as well as malnutrition or malnutrition, and a sharp decrease in immunity. As a result of such negative factors, the colonies of pathogenic microorganisms are intensively growing, thereby provoking the development of the inflammatory process in the throat and oral cavity.
To get rid of fungal tonsillitis as soon as possible, you need to pay attention to the symptoms of the disease in time and immediately visit a doctor. He will conduct an examination and appoint the necessary tests, which will help to make an accurate diagnosis and choose the best way to solve the problem. Treatment of fungal angina should be complex, intensive, aimed at the destruction of pathogenic microflora and the restoration of the body's defenses.
The prognosis of fungal angina is favorable in most cases, especially if treatment is started in time. In patients with a weak immune system, infection throughout the body is often observed, which can lead to serious complications. Frequent tonsillitis can provoke irregularities in the work of the heart muscle, lead to rheumatism, as well as cause a malfunction in the kidneys, liver and other organs.
Fungal angina should be treated competently, according to the ENT doctor's prescription. Do not use uncontrolled self-treatment with home remedies and alternative methods. This will lead to complications in the form of acute otitis media, paratonzillitis or acute cervical lymphadenitis. Sometimes inept self-treatment of angina can cause inflammation of the thyroid gland, appendicitis, as well as the development of chronic diseases.