Pharyngitis medicine

  1. Pharyngitis: Practice Essentials, Background, Pathophysiology
  2. Pharyngitis Medication: Antibiotics, Corticosteroids, Antifungals
  3. Pharyngitis: Symptoms, Causes, and Treatment Options
  4. Pharyngitis: Causes, Symptoms, and Diagnosis


Download: Pharyngitis medicine
Size: 33.10 MB

Pharyngitis: Practice Essentials, Background, Pathophysiology

Pharyngitis is defined as an infection or irritation of the pharynx or tonsils (see the image below). The etiology is usually infectious, with most cases being of viral origin and most bacterial cases attributable to group A streptococci (GAS). Other causes include allergy, trauma, toxins, and neoplasia. The group A beta-hemolytic streptococcal (GABHS) rapid antigen detection test is the preferred method for diagnosing GAS infection in the emergency department because of difficulties with culture follow-up. [ Pharyngitis is defined as an infection or irritation of the pharynx and/or tonsils. The etiology is usually infectious, with most cases being of viral origin. These cases are benign and self-limiting for the most part. Bacterial causes of pharyngitis are also self-limiting, but are concerning because of suppurative and nonsuppurative complications. Other causes include allergy, trauma, toxins, and neoplasia. [ Streptococcal infections are characterized by local invasion and release of extracellular toxins and proteases. In addition, M protein fragments of certain serotypes of GAS are similar to myocardial sarcolemma antigens and are linked to rheumatic fever and subsequent heart valve damage. The prevalence rates of these serotypes of GAS have been becoming rarer over the past several years. [ United States Children experience more than 5 upper respiratory infections (URIs) per year and an average of one streptococcal infection every 4 years. The occurrence in adults ...

Pharyngitis Medication: Antibiotics, Corticosteroids, Antifungals

GAS pharyngitis is usually a self-limited disease, and most signs and symptoms resolve spontaneously in 3-4 days. If administered early, antibiotics can shorten the duration of the illness by up to 1 day, but the main reason they are given is for prevention of acute rheumatic fever. [ [ [ A randomized, double-blind study by Shephard et al suggested that lozenges containing flurbiprofen 8.75 mg can alleviate moderate to severe pharyngitis symptoms for 3-4 hours, whether or not the patient is suffering from a group A or C streptococcal infection. [ A study by Müller et al indicated that a mouth and throat spray containing the osmolyte ectoine is effective against acute pharyngitis and/or laryngitis, demonstrating good to very good tolerability and reducing cervical lymph node swelling to a significantly greater degree than saline lozenges. The prospective, controlled, nonrandomized trial included 95 patients. [ A study by Fleming-Dutra et al found that, based on the 2010-2011 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey,pharyngitis was responsible for 43 ambulatory antibiotic prescriptions per 1000 population in the United States, the third highest rate of such prescriptions for a single diagnosis (after sinusitis and suppurative otitis media). [ Class Summary Empiric antimicrobial therapy must be comprehensive and should cover all likely pathogens in the context of the clinical setting. Antibiotics are indicated for clinically...

Pharyngitis: Symptoms, Causes, and Treatment Options

• Infectious pharyngitis is throat inflammation caused by something that’s contagious, such as a virus or bacteria (germs). • Noninfectious pharyngitis is throat swelling stemming from things you can’t catch, for example, environmental influences like cigarette smoke or a digestive disorder that allows irritating stomach acid to flow back up into the throat. • Rhinoviruses: These cause the common cold. • Adenoviruses: These are common viruses producing cold-like symptoms. • Coxsackieviruses: These viruses cause a variety of infections, including the one responsible for hand, foot, and mouth disease (HFMD), a common infection in children that produces painful ulcers, typically on the palms, soles of the feet, and mouth. • Human parainfluenza viruses (HPIV): HPIV is a group of viruses causing respiratory illnesses. Some of those illnesses include croup (a condition mostly seen in young kids that causes swollen airways and a bark-like cough), bronchitis, and viral pneumonia. • Influenza (the flu): Research shows that up to 84% of people with the flu also have a sore throat. • Coronaviruses: These viruses cause cold-like symptoms, including sore throats. Interestingly, only about 12% of people with coronavirus, COVID-19, report having a sore throat. • Mononucleosis (mono): A sore throat is one of the main symptoms of mono, an infection that’s often caused by the Epstein-Barr virus. • Group A streptococcus, a germ that commonly causes what’s known as Group A strep infections ca...

Pharyngitis: Causes, Symptoms, and Diagnosis

Pharyngitis is inflammation of the pharynx, which is in the back of the throat. It’s most often referred to simply as “sore throat.” Pharyngitis can also cause scratchiness in the throat and difficulty swallowing. According to the It’s also one of the most common reasons people stay home from work. In order to properly treat a sore throat, it’s important to identify its cause. Pharyngitis may be caused by bacterial or viral infections. There are numerous viral and bacterial agents that can cause pharyngitis. They include: • • adenovirus, which is one of the causes of the • • • • group A streptococcus Viruses are the most common cause of sore throats. Pharyngitis is most commonly caused by viral infections such as the common cold, Less commonly, pharyngitis is caused by a bacterial infection. Bacterial infections require antibiotics. The most common bacterial infection of the throat is streptococcus. Rare causes of bacterial pharyngitis include Frequent exposure to colds and flus can increase your risk for pharyngitis. This is especially true for people with jobs in healthcare, The incubation period is typically In addition to a • • runny nose • • • • • • In addition to a sore throat, the symptoms of mononucleosis include: • • severe fatigue • fever • • • • Strep throat, another type of pharyngitis, can also cause: • • red throat with • swollen lymph nodes • fever • chills • loss of appetite • • • general malaise The length of the contagious period will also depend on your ...