Pharyngitis treatment

  1. Pharyngitis and Tonsillitis
  2. Strep throat
  3. Pharyngitis
  4. IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis
  5. Acute pharyngitis
  6. Pharyngitis and Tonsillitis
  7. IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis
  8. Acute pharyngitis
  9. Strep throat
  10. Pharyngitis


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Pharyngitis and Tonsillitis

What are pharyngitis and tonsillitis?Pharyngitis and tonsillitis are infections that cause inflammation. If the tonsils are affected, it is called tonsillitis. If the throat is affected, it is called pharyngitis. If you have both, it’s called pharyngotonsillitis. These infections are spread by close contact with others. Most cases happen during the winter or colder months. What causes pharyngitis and tonsillitis? There are many causes of infections in the throat. Viruses are the most common cause and antibiotics will not help. Causes of throat infections include: • Viruses (most common) • Bacteria (such as strep) • Fungal infections • Parasitic infections • Cigarette smoke • Other causes What are the symptoms of pharyngitis and tonsillitis? The symptoms of pharyngitis and tonsillitis depend greatly on what’s causing it. For some people, symptoms may start quickly. For others, symptoms start slowly. These are the most common symptoms of pharyngitis and tonsillitis: • Sore throat • Fever (either low- or high-grade) • Headache • Loss in appetite • Not feeling well • Nausea • Vomiting • Stomach aches • Painful swallowing • Redness or drainage in the throat The symptoms of pharyngitis and tonsillitis may look like other medical conditions or problems. Always check with your healthcare provider for a diagnosis. How are pharyngitis and tonsillitis diagnosed? In most cases, it is hard to tell the difference between a viral sore throat and a strep throat based on physical exam. It ...

Strep throat

Overview Strep throat is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, a specific type of rash, or heart valve damage. Strep throat infection Strep throat usually causes throat pain and difficulty swallowing. This photo of strep throat shows inflammation and red spots, caused by the infection. Signs and symptoms of strep throat can include: • Throat pain that usually comes on quickly • Painful swallowing • Red and swollen tonsils, sometimes with white patches or streaks of pus • Tiny red spots on the area at the back of the roof of the mouth (soft or hard palate) • Swollen, tender lymph nodes in your neck • Fever • Headache • Rash • Nausea or vomiting, especially in younger children • Body aches It's possible for you or your child to have many of these signs and symptoms but not have strep throat. The cause of these signs and symptoms could be a viral infection or some other illness. That's why your doctor generally tests specifically for strep throat. It's also possible for you to be exposed to a person who carries strep but shows no symptoms. When to see a doctor Call your doctor if you or your child has any of these signs and symptoms: • A sore throat accompanied by tender, swollen lymph glands • A sore throat that lasts longer...

Pharyngitis

Pharyngitis • Care notes • • • • • • • • • What is pharyngitis? Pharyngitis, or sore throat, is inflammation of the tissues and structures in your pharynx (throat). Pharyngitis is most often caused by bacteria or a virus. Other causes include smoking, allergies, or acid reflux. What are the signs and symptoms of pharyngitis? Signs and symptoms depend on the cause of your pharyngitis. You may have any of the following: • Sore throat or pain when you swallow • Fever, chills, and body aches • Hoarse or raspy voice • Cough, runny or stuffy nose, itchy or watery eyes • Headache • Upset stomach and loss of appetite • Whitish-yellow patches on the back of the throat • Tender, swollen lumps on the sides of the neck How is pharyngitis diagnosed? Tell your healthcare provider about your symptoms and when they started. Your provider may look inside your throat and feel your neck. You may also need the following tests: • A throat culture may show which germ is causing your sore throat. A cotton swab is rubbed against the back of your throat. • Blood tests may be used to show if another medical condition is causing your sore throat. How is pharyngitis treated? Viral pharyngitis will go away on its own without treatment. Your sore throat should start to feel better in 3 to 5 days. You may need medicines to decrease pain and swelling or to treat a bacterial infection. Treatment options The following list of medications are in some way related to or used in the treatment of this condition...

IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis

The Infectious Diseases Society of America (IDSA) has updated its 2002 guideline on managing group A streptococcal pharyngitis. The illness primarily occurs in children five to 15 years of age. Patients typically present with sudden onset of a sore throat, pain with swallowing, and fever. Examination shows tonsillopharyngeal erythema, often with lymphadenitis. The symptoms of streptococcal pharyngitis often overlap with those of viral pharyngitis, and the two cannot be differentiated using clinical features alone unless overt viral features are present. Group A streptococcal infection Sudden onset of sore throat Age 5 to 15 years Fever Headache Nausea, vomiting, abdominal pain Tonsillopharyngeal inflammation Patchy tonsillopharyngeal exudates Palatal petechiae Anterior cervical adenitis (tender nodes) Presentation in winter or early spring History of exposure to streptococcal pharyngitis Scarlatiniform rash Viral infection Conjunctivitis Coryza Cough Diarrhea Hoarseness Discrete ulcerative stomatitis Viral exanthem A positive result on rapid antigen detection testing is diagnostic for group A streptococcal pharyngitis. A backup culture should be performed in children and adolescents with negative test results. A backup culture generally is not necessary in adults because the incidence of the illness and the risk of subsequent rheumatic fever are low in adults; however, it can be considered. Antistreptococcal antibody titers are not recommended in the routine diagnosis of a...

Acute pharyngitis

• Overview   • • Theory   • Epidemiology • Etiology • Case history • Diagnosis   • Approach • History and exam • Investigations • Differentials • Criteria • Screening • Management   • Approach • Treatment algorithm • Prevention • Patient discussions • Follow up   • Monitoring • Complications • Prognosis • Resources   • Guidelines • Images and videos • • Patient leaflets • Evidence 25 Jan 2023 High rates of group A streptococcus infection in England In a UK Health Security Agency (UKHSA) report, notifications of scarlet fever and invasive group A streptococcus (iGAS) disease in England are higher than expected for this time of year. Prompt treatment of children with scarlet fever with antibiotics is recommended to reduce risk of possible complications and limit onward transmission. If there is uncertainty about the diagnosis, obtain a throat swab prior to commencing antibiotics. Children with scarlet fever should stay at home until 24 hours of antibiotic treatment has been received. The Centers for Disease Control and Prevention (CDC) is looking into an increase in iGAS infections among children in the US. Scarlet fever: • Around 90% of cases occur in children under 10 years • Usually a mild illness, but is highly infectious • Presents with a generalized, erythematous rash, which feels like sandpaper • Often preceded by sore throat (pharyngitis, tonsillitis) • Pharyngeal erythema with exudates, palatal petechiae, and a red, swollen (strawberry) tongue are sugges...

Pharyngitis and Tonsillitis

What are pharyngitis and tonsillitis?Pharyngitis and tonsillitis are infections that cause inflammation. If the tonsils are affected, it is called tonsillitis. If the throat is affected, it is called pharyngitis. If you have both, it’s called pharyngotonsillitis. These infections are spread by close contact with others. Most cases happen during the winter or colder months. What causes pharyngitis and tonsillitis? There are many causes of infections in the throat. Viruses are the most common cause and antibiotics will not help. Causes of throat infections include: • Viruses (most common) • Bacteria (such as strep) • Fungal infections • Parasitic infections • Cigarette smoke • Other causes What are the symptoms of pharyngitis and tonsillitis? The symptoms of pharyngitis and tonsillitis depend greatly on what’s causing it. For some people, symptoms may start quickly. For others, symptoms start slowly. These are the most common symptoms of pharyngitis and tonsillitis: • Sore throat • Fever (either low- or high-grade) • Headache • Loss in appetite • Not feeling well • Nausea • Vomiting • Stomach aches • Painful swallowing • Redness or drainage in the throat The symptoms of pharyngitis and tonsillitis may look like other medical conditions or problems. Always check with your healthcare provider for a diagnosis. How are pharyngitis and tonsillitis diagnosed? In most cases, it is hard to tell the difference between a viral sore throat and a strep throat based on physical exam. It ...

IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis

The Infectious Diseases Society of America (IDSA) has updated its 2002 guideline on managing group A streptococcal pharyngitis. The illness primarily occurs in children five to 15 years of age. Patients typically present with sudden onset of a sore throat, pain with swallowing, and fever. Examination shows tonsillopharyngeal erythema, often with lymphadenitis. The symptoms of streptococcal pharyngitis often overlap with those of viral pharyngitis, and the two cannot be differentiated using clinical features alone unless overt viral features are present. Group A streptococcal infection Sudden onset of sore throat Age 5 to 15 years Fever Headache Nausea, vomiting, abdominal pain Tonsillopharyngeal inflammation Patchy tonsillopharyngeal exudates Palatal petechiae Anterior cervical adenitis (tender nodes) Presentation in winter or early spring History of exposure to streptococcal pharyngitis Scarlatiniform rash Viral infection Conjunctivitis Coryza Cough Diarrhea Hoarseness Discrete ulcerative stomatitis Viral exanthem A positive result on rapid antigen detection testing is diagnostic for group A streptococcal pharyngitis. A backup culture should be performed in children and adolescents with negative test results. A backup culture generally is not necessary in adults because the incidence of the illness and the risk of subsequent rheumatic fever are low in adults; however, it can be considered. Antistreptococcal antibody titers are not recommended in the routine diagnosis of a...

Acute pharyngitis

• Overview   • • Theory   • Epidemiology • Etiology • Case history • Diagnosis   • Approach • History and exam • Investigations • Differentials • Criteria • Screening • Management   • Approach • Treatment algorithm • Prevention • Patient discussions • Follow up   • Monitoring • Complications • Prognosis • Resources   • Guidelines • Images and videos • • Patient leaflets • Evidence 25 Jan 2023 High rates of group A streptococcus infection in England In a UK Health Security Agency (UKHSA) report, notifications of scarlet fever and invasive group A streptococcus (iGAS) disease in England are higher than expected for this time of year. Prompt treatment of children with scarlet fever with antibiotics is recommended to reduce risk of possible complications and limit onward transmission. If there is uncertainty about the diagnosis, obtain a throat swab prior to commencing antibiotics. Children with scarlet fever should stay at home until 24 hours of antibiotic treatment has been received. The Centers for Disease Control and Prevention (CDC) is looking into an increase in iGAS infections among children in the US. Scarlet fever: • Around 90% of cases occur in children under 10 years • Usually a mild illness, but is highly infectious • Presents with a generalized, erythematous rash, which feels like sandpaper • Often preceded by sore throat (pharyngitis, tonsillitis) • Pharyngeal erythema with exudates, palatal petechiae, and a red, swollen (strawberry) tongue are sugges...

Strep throat

Overview Strep throat is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, a specific type of rash, or heart valve damage. Strep throat infection Strep throat usually causes throat pain and difficulty swallowing. This photo of strep throat shows inflammation and red spots, caused by the infection. Signs and symptoms of strep throat can include: • Throat pain that usually comes on quickly • Painful swallowing • Red and swollen tonsils, sometimes with white patches or streaks of pus • Tiny red spots on the area at the back of the roof of the mouth (soft or hard palate) • Swollen, tender lymph nodes in your neck • Fever • Headache • Rash • Nausea or vomiting, especially in younger children • Body aches It's possible for you or your child to have many of these signs and symptoms but not have strep throat. The cause of these signs and symptoms could be a viral infection or some other illness. That's why your doctor generally tests specifically for strep throat. It's also possible for you to be exposed to a person who carries strep but shows no symptoms. When to see a doctor Call your doctor if you or your child has any of these signs and symptoms: • A sore throat accompanied by tender, swollen lymph glands • A sore throat that lasts longer...

Pharyngitis

Pharyngitis • Care notes • • • • • • • • • What is pharyngitis? Pharyngitis, or sore throat, is inflammation of the tissues and structures in your pharynx (throat). Pharyngitis is most often caused by bacteria or a virus. Other causes include smoking, allergies, or acid reflux. What are the signs and symptoms of pharyngitis? Signs and symptoms depend on the cause of your pharyngitis. You may have any of the following: • Sore throat or pain when you swallow • Fever, chills, and body aches • Hoarse or raspy voice • Cough, runny or stuffy nose, itchy or watery eyes • Headache • Upset stomach and loss of appetite • Whitish-yellow patches on the back of the throat • Tender, swollen lumps on the sides of the neck How is pharyngitis diagnosed? Tell your healthcare provider about your symptoms and when they started. Your provider may look inside your throat and feel your neck. You may also need the following tests: • A throat culture may show which germ is causing your sore throat. A cotton swab is rubbed against the back of your throat. • Blood tests may be used to show if another medical condition is causing your sore throat. How is pharyngitis treated? Viral pharyngitis will go away on its own without treatment. Your sore throat should start to feel better in 3 to 5 days. You may need medicines to decrease pain and swelling or to treat a bacterial infection. Treatment options The following list of medications are in some way related to or used in the treatment of this condition...