/ / Follicular tonsillitis in children: symptoms and treatment

Follicular tonsillitis in children: symptoms and treatment

How to treat follicular sore throat? This is a common question that parents ask. We will understand it in more detail.

One of the most dangerous for the health of the childangina wears follicular definition. Such a disease is an acute suppurative inflammation. It flows in the follicles of the tonsils. This infectious pathology begins immediately after initial contact with a specific pathogen, for example, with hemolytic streptococcus. It can also be caused by adenovirus, pneumococcus or staphylococcus. Follicular tonsillitis is often diagnosed in children, and it goes much harder than in adult patients. Infection occurs under the influence of external, and, moreover, internal factors.

follicular sore throat

Causes

The causative agent of such a sore throat, as a rule, penetratesinto a young organism by airborne droplets when a child communicates with an already infected person or uses his things, such as toys, dishes, personal hygiene items, and so on. This usually happens in kindergarten, and, moreover, at school or simply on public transport. Also, infection contributes to a number of specific factors that are external and internal. Follicular sore throat - a rather unpleasant disease.

External factors

The following factors should be mentioned as external factors:

  • The result of local hypothermia. This factor is most frequent when a child eats, for example, too much ice cream or drinks ice water.
  • General hypothermia, in which feet get wet, or when the child swam, walked through the cold in light clothing or without a hat, or simply stayed in the cold for a long time.
  • Frequent stress along with nervous tension.
  • Conducting an unsuccessful surgical procedure, in the framework of which unprofessional tooth extraction with infection was the cause of suppuration.
  • Poor nutrition along with overwork.
  • Lack of vitamins in the body.

Treatment of follicular angina in children will be discussed below.

follicular sore throat photo

Internal factors

The following factors should be mentioned as internal factors:

  • Reduced immunity of the body.
  • The presence of certain diseases, such as, for example, caries, along with inflammation of the nasal sinuses and problems with the ears.
  • Injuries to the pharynx in the form of scratches, wounds, abrasions, and so on.
  • The presence of various infections, diphtheria, scarlet fever, flu.
  • The appearance of allergies, tuberculosis, failure of the nervous system, lupus erythematosus, circulatory problems.

All of these factors can expose a child’s health.serious danger, contributing to infection by harmful microorganisms. Therefore, it is necessary to reduce their impact, especially during the epidemic, which usually begins in the cold season. Differing from other forms of children's sore throat, follicular (pictured) is formed very rapidly. The incubation period is two days, and sometimes it takes only a few hours. In this regard, act as quickly. The first task of parents is to recognize the disease by symptoms.

Symptoms in children

In children, symptoms of follicular anginaappears very quickly, and the clinical picture, in turn, emerges sharply and clearly. Dispersal from the simple weakness with which the illness begins, before the onset of febrile convulsions can be as little as an hour. In this regard, you need as closely as possible to monitor the condition of your child, so as not to miss the moment when you need to call an ambulance. The first symptoms of follicular angina are as follows:

  • The appearance of dry mouth.
  • The appearance of tickling, cough and sore throat, giving to the ear.
  • Observed increased heart rate.

The subsequent development of the disease, as a rule, is as follows:

  • In the event that it is a baby, he will scream loudly, and a small three-year-old child may simply cry, complaining of severe pain in the throat area.
  • The child will refuse to eat because it will hurt him to swallow.
  • The presence of abundant salivation.
  • Temperature increase up to 40 ° С. It should be noted that in cases of follicular sore throat, it is extremely difficult for children to stray.
  • The appearance of cramps and fever, alternating with chills.
  • Swollen lymph nodes.
  • The development of conjunctivitis, runny nose and the appearance of rashes on the skin.
follicular sore throat in children

Symptoms of intoxication

The main symptoms of follicular angina, which speak of intoxication of the body, are:

  • The presence of excessive sweating.
  • The appearance of weakness and headache along with breathing problems.
  • The feeling of aching in the joints and in the lumbar region.
  • Difficulty sleeping along with confusion.
  • The appearance of diarrhea and vomiting.

Follicular tonsillitis in adults is less common, but it still happens.

Throat inspection

In that case, if you ask a person to open his mouth, then even with the naked eye can see the unpleasant picture:

  • Suppuration of the follicles will look like yellowish-white dots.
  • The presence of redness and enlarged tonsils.

ICF-10 follicular sore throat code - J03.In chronic form, it may not be so bright. The symptoms will be smoothed. The first consultation can be given by a doctor who arrives at home, or a pediatrician, to whom you can make an appointment. But best of all, if there is suspicion of such a diagnosis, bring the sick child to a otolaryngologist right away.

Diagnostics

Laboratory tests for suspectedfollicular sore throat (in ICD-10 - J03) provide an opportunity to confirm or refute the alleged diagnosis. A similar disease is required to differentiate from other similar ones. This is very important because, depending on the diagnosis, certain drugs will be prescribed for therapy. For example, the treatment of this type of angina is not complete without the use of antibiotics. At the same time, they are absolutely contraindicated in mononucleosis. So, measures of diagnosis of follicular angina in children and adults are as follows:

  • Collecting data of a clinical picture.
  • Conducting pharyngoscopy.
  • Carrying out bacteriological studies, which make it possible to detect pathogens in crops of pharyngeal mucus.
  • Conducting serological studies.
  • Delivery of the general analysis.
how to treat follicular sore throat

Proper diagnosis allows you to assigna course of appropriate treatment, however, quickly cure follicular sore throat will not work. Even with a successful course of the disease without any complications, recovery can occur only on the tenth day. It directly depends on the preparations and characteristics of the child’s body.

Consider the treatment of follicular angina in children and adults in more detail.

Treatment

Basically, the treatment of this form of angina is sentfor the destruction of pathogens. And this requires antibiotics. Despite all their proven harm, parents should understand that complications from untreated angina will be even more serious. The following medications are used as part of the medication:

  • First of all, penicillins are used: Flemoxin, Augmentin, and macrolides: Hemomycin, Azitroks, Sumamed, and cephalosporins - Ceftriaxone, Cefalexin.
  • The use of anti-inflammatory drugs to eliminate pain, lymphadenitis, and various edemas, such as Ibuklina and Ibuprofen.
  • Antipyretics for follicular sore throat(photo of symptoms is presented): Nurofen, Panadol, Efferalgun. Considering that it is extremely difficult to bring down the temperature in this form of angina, a course of lytic mixture from “Analgin” with “Dimedrol” is prescribed.
  • Antiallergic medicines: "Claricens", "Dimedrol", "Tsetrin", "Diazolin" and "Zodak".
  • Detoxification therapy.
  • Gargle up to ten times a day with Yodinol, Lugol and Furacilin.
  • Irrigation of the throat using aerosols "Tantum Verde", "Bioparox" and "Miramistin".
  • Acceptance of absorbable tablets with candy "Faringosept", "Geksoral Tabs" and "Septolete."
  • The use of probiotic drugs that prevent the development of dysbiosis: "Bifidumbakterin", "Atsipol."
  • The use of immunomodulators: "Lizobact", "Amiksin" and "Immunal", as well as vitamins.

Treatment of follicular angina in adults is no different. Only the dosage of drugs varies.

It is important to note that the procedure for lubricating the throat with “Lugol” and other antiseptics is strictly prohibited. First of all, it can disrupt the mucous membrane and also contribute to the spread of infection.

follicular angina mkb 10

Operation

Removal of tonsils with follicular sore throat (ICD code - J03) has medical indications in the following cases:

  • The development of decompensated forms of chronic tonsillitis.
  • The appearance of chronic tonsillitis with toxic-allergic symptoms.
  • The presence of hypertrophied palatine tonsils.
  • The presence of purulent complications of tonsillitis.
  • Tonsillitis, which occurs more than seven times a year.

Apparatus therapy may be prescribed.follicular sore throat. Modern device "Tonsilor" affects the tonsils through ultrasound or vacuum. In the process of its application, pus is pumped out, and, in addition, the affected area is washed, which relieves edema with inflammation.

What else can be used in the treatment of adult follicular tonsillitis?

Folk remedies

Experiments on the background of purulent tonsillitis are inappropriate, so all methods should be coordinated with the doctor. It is advisable to carry out the following treatment:

  • Gargle with herbs, beetroot juice, and, in addition, lemon or honey water.
  • Cooking cranberry juice.
  • Drinking tea with raspberry jam.
  • The exclusion of any warming procedures in the form of compresses, steam inhalations and ointments in the neck area - all this with this form of sore throat is completely unacceptable.
  • Using decoctions of thyme, wild rose, raspberry and pine needles.
  • Give your child to chew propolis after each meal.

Treatment by folk remedies of such a dangerous disease as follicular sore throat, serves only as an addition to the course of medical therapy. All parents should understand this.

Treatment of follicular angina in a child should be complex.

follicular symptoms

Care for a sick child

As part of caring for a baby who has a sore throat, it is important to follow the following guidelines:

  • Requires compliance with bed rest.
  • It is important to drink a lot of fluids.
  • Forbidden to walk.
  • The room in which there is a small patient must be ventilated.
  • Before the arrival of the ambulance, you need to try to bring down the heat with the help of antipyretic drugs in the form of candles or vodka wraps.
  • Drinking tea with chamomile and sage.
  • Food temperature should always be comfortable and warm.
  • Exclusion from the diet salted, pickled, spicy and carbonated.
  • Food should be ground in a blender. Liquid porridges and soups with broths are especially welcome.

Treatment of follicular angina in a child is more successful the sooner it is started.

It is important to remember that only a doctor can reportparents, how exactly it is necessary to treat pathology in children in a particular situation. Each case is individual. Parents alone should in no case make any decisions, otherwise serious consequences cannot be avoided.

tonsillitis treatment in adults

Effects

A characteristic feature of follicular tonsillitisthe spread of pus is considered, which even in the case of opening the vesicles does not go beyond the tonsils. True, with a severe course of the disease, this still happens. For example, purulent contents can go directly to the throat, and from there to absolutely any organ, because of this, serious complications can begin to develop, which are extremely dangerous for the child’s health:

  • The appearance of paratonsillar abscess.
  • The development of sepsis.
  • The appearance of Lemierre Syndrome.
  • The development of streptococcal meningitis.
  • The occurrence of toxic shock.
  • The development of glomerulonephritis.
  • The appearance of phlegmonous tonsillitis.
  • The appearance of thrombosis, phlegmon, paratonsillitis, otitis media and laryngitis.

Each of these diseases is not only difficultcan respond to treatment, but also leaves its mark on the entire subsequent life of the child. Scars may remain after an abscess, meningitis, in turn, will lead to disability, and sepsis often leads to death. Follicular tonsillitis is just so dangerous, so you should not reduce its value. And, of course, it is always easier to prevent a disease than to cure it. Parents should regularly prevent this disease.

Now you know how to treat follicular tonsillitis.

Preventive measures

Для того чтобы обезопасить своего ребенка от of such a serious sore throat, parents from the very birth of the baby should take care of the prevention of this disease, which involves a number of the following measures:

  • Decreased contact with sick people.
  • Do not allow the child to eat cold foods in large quantities and even more so to drink ice-cold liquid.
  • To strengthen children's immunity, tempering it, giving vitamins and accustoming to sports with a healthy lifestyle.
  • Providing balanced and quality nutrition.
  • Timely treatment of any diseases.

Thus, it is extremely important to understand how dangerous the appearance of follicular tonsillitis in children is and what consequences may lead to a frivolous attitude to it.

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