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Streptococcal pharyngitis in children
Last reviewed: 23.04.2024
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With stentococcal infection in a significant part of the cases, the pharynx is involved in the process, "acute pharyngitis" occurs.
The term "pharyngitis" is usually used to refer to changes in the oropharynx for various infectious diseases (ARI, diphtheria, measles, meningococcal infection, etc.). Pharyngitis is often combined with the defeat of the tonsils, nasopharynx, respiratory tract. However, the diagnosis of "acute pharyngitis" is established when the main process is localized on the back wall of the pharynx.
Streptococcal pharyngitis begins acutely, with complaints of pain when swallowing, headache, abdominal pain, vomiting and may be accompanied by a rise in body temperature from subfebrile to high numbers. The pain in the oropharynx varies from mild to severe, leading to difficulty swallowing. There is a feeling of dryness, irritation and other unpleasant sensations in the region of the posterior pharyngeal wall. Pharyngoscopic picture shows a sharp increase, flushing, swollen back of the pharynx with frequent suppuration of the follicles, superficial necrosis, sometimes with ulceration. Changes in the palatine tonsils are weak or absent. With great persistence, tenderness and an increase in the anterior and posterior lymph nodes are noted.
Diagnosis of streptococcal pharyngitis
Streptococcal pharyngitis is diagnosed on the basis of a clinical picture, the isolation of streptococcus culture in the mucus from the lesion and the growth of antibody titres to streptococcal antigens in the course of the disease. With a gulpingus abscess, in difficult cases for diagnostics, an x-ray of the neck or nasopharynx is performed.
Treatment of streptococcal pharyngitis
With streptococcal pharyngitis prescribe antibiotics, desensitizing agents, vitamins, rinsing the oropharynx bactericidal against gram-positive cocci preparations (tomicide), disinfectant and saline solutions, herbal infusions. With the aim of eliminating the pathogen from the surface of the mucous membrane and restoring the local immunity, the purpose of the topical immunomodulator imudona is justified. It has been shown to have a positive effect both on the state of the oropharynx microbiocenosis, and on the activation of phagocytosis and restoration of the protective shaft of secretory IgA.
Surgical treatment is indicated in the case of development of an abscess abscess.
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