Follicular angina in children is often diagnosed at the age of 5-12 years in the cold season and the off-season period against the background of a weakened immune defense. What are the features of this disease, and how to treat it correctly, we consider further.
What is follicular sore throat?
One of the serious and serious diseases is purulent follicular angina in children, which is an acute inflammation of the tissues of the tonsils - pharyngeal, palatine, lingual and tubal. Its peculiarity is the reaction of the tonsils of the tonsils, each of which increases in size and accumulates pus, thus creating a characteristic clinical picture of the pathology.
Follicles of the tonsils - small accumulations of lymph nodes under the surface of the mucous membrane of the tonsils, which act as unique working units of the lymphatic system. Their function is to provide local immunity by producing protective cells - lymphocytes, monocytes, macrophages, etc. Recognizing pathogenic foreign agents, protective cells begin to neutralize and eliminate them.
Follicular sore throat in children - symptoms
The ailment differs by sharp occurrence and rapid development with the increase of symptoms. The leading symptoms of follicular sore throat are as follows:
- increase in body temperature to the limit values (38-40 ° C);
- The temperature is not slowed down by antipyretic agents for a long time;
- chills ;
- headache;
- strong weakness;
- severe dry mouth;
- sore throat;
- coughing;
- sharp soreness in the throat;
- pain increases with swallowing and gives into the ear area;
- nausea;
- diarrhea;
- lack of appetite;
- joint and muscle pain;
- increase and soreness of regional cervical lymph nodes.
During the examination of the oral cavity and pharynx, the following is noted:
- edematous and reddened mucous larynx;
- enlarged palatine tonsils (from one or both sides);
- presence of pimples on the back wall of the larynx;
- presence on the surface of the tonsils of point yellowish-whitish hillocks-pustules;
- at a spontaneous dissection pustules leave small erosion.
Causes of follicular sore throat in children
Purulent angina in a child in most cases is caused by such infectious bacterial agents: streptococci, gemococcus, staphylococcus. Often, the infection penetrates from the outside, but sometimes the ailment is provoked by activating its own "sleeping" microflora after reducing the resistance of the organism or transmitted from other inflammatory foci - carious teeth, bacteria affected by the paranasal sinuses,
Follicular sore throat in children is a contagious disease that is easily transmitted in such ways:
- airborne - on contact and communication with a sick person or carrier of infection;
- contact-household - through public objects (towels, toys, books, dishes, etc.);
- fecal-oral - through infected water or food;
- traumatic - with careless manipulations on the nasopharyngeal mucosa.
The incubation period is from 10 hours to 2-3 days. The main risk factors for the development of pathology:
- weak immunity ;
- bacteriocarrier;
- general or local supercooling;
- contact with infected products, objects, sick people.
Follicular sore throat without temperature in the child
If there is purulent angina in a child without temperature, then, rather, it is not a follicular form of the disease. The absence of fever can speak of catarrhal tonsillitis, in which the surface tissues of the tonsils are involved in the inflammatory process. Often in this case, it is not an acute, but a chronic process (exacerbation).
Frequent follicular sore throats
If a child often has a follicular sore throat, then the cause may lie in regular contact with the source of infection. It can be as people with sore throat people, bacterial carriers, and contaminated objects, food, water. Perhaps one of the members of the family suffers from a chronic form of sore throat, which contributes to the constant infection of the child. In addition, he can also develop a process chronic, as evidenced by frequent tonsillitis with not very bright symptoms, appearing even after slight colds, a slight hypothermia.
How to treat follicular sore throat in a child?
To avoid dangerous complications, follicular sore throat in children needs to be treated immediately, at the initial stage. During the diagnosis, a small patient may be taken from a throat for analysis on the microflora and to identify the sensitivity of infectious agents to different types of antibiotics. In addition, blood and urine are taken for analysis.
In many cases, this diagnosis implies inpatient hospitalization, because follicular angina in children is associated with a high risk of adverse effects, and a high body temperature can quickly cause dehydration, especially in the youngest. Patients are assigned bed rest, a plentiful warm drink, sparing food. Treatment, mainly, medical, including the use of the following drugs:
- antibiotics;
- non-steroidal anti-inflammatory drugs;
- local antiseptic, anti-inflammatory and anesthetic preparations;
- antiallergic medicines;
- vitamins, immunocorrectors.
Antibiotics for follicular angina in children
Antibiotics for purulent sore throat are mandatory - they are shown to the child in the form of a suspension or syrup, older children can take them in tablet form, and in severe cases, the drugs are delivered into the body intramuscularly or intravenously. Drugs of choice are broad-spectrum antibiotics related to such groups:
- penicillins (Amoxicillin, Augmentin, Gramox, Flemoxin Solutab , etc.);
- macrolides (Clarithromycin, Spiramycin, Summed, etc.);
- cephalosporins (Cefalexin, Ceftriaxone, etc.).
The course of antibiotic therapy can last 5-10 days, while the effectiveness of the drug is estimated after 2-3 days from the beginning of treatment. If the selected antibiotic acts on the pathogens of the infection, it affects the child's condition: the temperature decreases, pain decreases, and overall well-being improves. Otherwise, it is necessary to replace the drug with an antibiotic of another group. During therapy should strictly adhere to the regime and duration of medication.
Than to gargle a throat at a purulent angina to the child?
Rinse throat is important in the process of treatment, tk. allows you to clean the tonsils from purulent contents, helps moisturize the mucous membranes. Than to gargle with a sore throat to the child, the doctor appoints, proceeding from the general picture of disease and age of the patient. Children under 3 years of age are not prescribed such procedures, because there is a risk of asphyxia, laryngospasm.
The throat is rinsed 7-10 times a day with the following solutions and preparations:
- Iodinol;
- Miramistin;
- Chlorophyllipt;
- Furacilin;
- camomile tea;
- the infusion of calendula;
- sage tea;
- soda-salt solution, etc.
Follicular tonsillitis - folk methods of treatment
If uncomplicated follicular angina is diagnosed in children, treatment with antibiotics can be supplemented with some folk methods. It is important to get approval of the doctor before this. Here is one of the home methods of treatment, which is a recipe for rinsing, which has excellent antimicrobial and anti-inflammatory properties.
Prescription means
Ingredients:
- fresh beets - 1 pc .;
- table vinegar (6%) - 1 table. a spoon.
Preparation and use:
- Grate beetroot on a small grater.
- Add vinegar to a glass of the resulting mass.
- Mix and put in a dark place for 4 hours.
- Strain.
- With the resulting liquid, rinse every 2-3 hours.
Follicular sore throat in children - complications
Without taking timely adequate measures for the treatment of follicular sore throat in children, the disease can quickly assume a threatening form or cause damage to various internal organs. Follicular complications of angina may give the following:
- infectious-toxic shock;
- paratonzillar abscess;
- rheumatism ;
- streptococcal meningitis;
- glomerulonephritis;
- postginal sepsis.