Purulent sore throat without fever

Purulent angina without temperature is much less common than inflammation of the tonsils with a significant increase in body temperature.

In Latin palatine tonsils are called tonsillae, and in the practice of ENT doctors this diagnosis sounds like catarrhal tonsillitis.

Let's find out when there is angina, which is not accompanied by fever, while this disease has an infectious etiology.

[1], [2]

Causes of the purulent sore throat without temperature

The main causes of purulent sore throat without temperature are associated with the activation of those caught in the throat - by airborne droplets or through objects, for example, dishes or cutlery - of pathogenic bacteria of the serological group A. First of all, this is the beta-hemolytic streptococcus Streptococcus pyogenes, who is the culprit almost 80% of cases of acute inflammation of the tonsils.

In addition, purulent angina without fever may occur due to Staphylococcus aureus (Staphylococcus aureus). This Gram-positive bacterium is present on the skin and mucous membranes of the upper respiratory tract in almost 25% of people and coexists with a person on the principle of commensalism. This is a kind of coexistence, in which the bacterium-lodger does not interfere with the life of the "host" its host organism, but the responsibility for the connection with the environment lies entirely with the host. Therefore, as soon as immunity (which usually does not give the bacteria to manifest its pathogenic properties) weakens, or the nonspecific defense of an organism fails from infections, this or that disease develops. In this case, purulent angina without temperature.

As the otolaryngologists note, in purulent angina without a temperature there can be mixed etiology, when the amygdala attacks both streptococci and staphylococci - against the background of weakening of immunity during hypothermia. In addition, the source of infection need not be external: often tonsils become inflamed from an infection concentrated in the paranasal sinuses (for example, in chronic sinusitis or sinusitis) or in cavities of teeth affected by caries.

Causes of purulent sore throat without temperature can also be chronic tonsillitis, shortness of breath, laryngeal involvement by the Candida albicans fungus, defeat of palatine tonsils with spindle-shaped rod and spirochetes (Vincent's angina), stomatitis, syphilis.

[3], [4], [5], [6]

Symptoms of the purulent sore throat without temperature

Angina (acute tonsillitis) has several clinical forms: catarrhal, lacunar and follicular, fibrous and phlegmonous. And only catarrhal angina, in which the inflammatory process affects only the upper layer of the tonsillar mucosa, can be purulent angina without temperature.

The obvious symptoms of a purulent sore throat without a fever are manifested as:

• perspiration, dryness and sore throat, which, during swallowing, increases and can give back to the ears;
• hyperemia (redness) and puffiness of the glands, as well as hyperemia of the palatine arch and posterior pharyngeal wall;
• yellowish-white mucus-purulent coating covering the tonsils in whole or in part;
• a slight increase in submandibular or behind-the-back lymph nodes, which can lead to painful sensations.

Diagnostics of the purulent sore throat without temperature

Diagnosis of purulent sore throat without fever is performed by an otolaryngologist on the basis of patient complaints and through a routine examination of his throat. As a rule, this is quite enough to prescribe the necessary therapy.

But if purulent angina occurs frequently without temperature, then a microbiological examination of the smear from the surface of the tonsils and the posterior pharyngeal wall is prescribed to determine the type of pathogenic bacteria. You will also need to give a general blood test for ESR and white blood cells, as well as a blood test for CRP (C-reactive protein of blood plasma).

[7], [8], [9], [10], [11]

Treatment of the purulent sore throat without temperature

Treatment of purulent sore throat without temperature necessarily involves rinsing the throat. To this end, it is recommended to use a solution of hydrogen peroxide (3%), a solution of furacilin (per 100 ml of warm water 1 tablet), a solution of boric acid (200 ml of water one teaspoon), rivanol solution (0.1%), chlorophylliptine solutions or Benzimidine.

Also, for the rinsing of the throat, which should be conducted 4-5 times a day after eating, decoctions and water infusions of medicinal plants are used: sage, St. John's wort, camomile flowers and calendula, oak bark and eucalyptus leaf (a glass of boiling water - a tablespoon of dry grass) .

Improves the condition of the throat and lymph nodes by warming the neck with a scarf, and also warming compresses (ethyl alcohol with water in a 1: 1 ratio).

Antibacterial pharmaceutical preparations - antibiotics of penicillin or cephalosporin series (Ampicillin, Amoxicillin, Oxacillin, Rovamycin, Cefalexin, etc.) in the form of tablets for oral administration are used to treat purulent sore throats without temperature.

So, having a wide spectrum of action, Ampicillin is prescribed to an adult by 0.5 g 4-6 times a day, the maximum daily dose is not more than 3 g. For children, the daily dosage is determined at the rate of 100 mg per kilogram of body weight, and the daily dose is divided by equal in parts for six receptions. Semisynthetic antibiotic Amoxicillin (trade names Augmentin, Amoxiclav, Flemoxin Solutab) adults and children over 10 years take one tablet (0.5 g) three times a day - before or after meals. The duration of treatment is 5-12 days. Rovamycin - antibiotic macrolide with bacteriostatically active substance spiramycin (in tablets of 1.5 million IU) - adults are recommended to take 3 million IU 2-3 times a day, and children - 150 thousand IU per kilogram of body weight in day (three times).

Cephalosporin antibiotic Cephalexin (in capsules of 0.25 g) is used: adults - 0.25-0.5 g 4 times a day (regardless of food intake); The daily dose for children is 25-50 mg per kilogram of body weight in four divided doses. The duration of the course of treatment is 7-14. Daily dosage of Cephalexin in the form of suspension: 2.5 ml for children of the first year of life; 5 ml - from 1 year to 3 years (in 4 divided doses); 7.5 ml - 3-6 years; 10 ml - over 6 years old. The minimum duration of taking this drug is 2-5 days.

It should be remembered that all antibiotics have side effects in the form of dyspepsia, nausea, vomiting, diarrhea, dizziness, allergic reactions and changes in blood, so if purulent angina without fever occurs during pregnancy or lactation, it is better to do without antibiotics.

It is good to remove inflammation and sore throat antiseptic lozenges, lozenges and tablets for resorption, such as Strepsils, Faringosept, Astracept, Geksoral, Falimint, and others.

For example, Strepsils has an antiseptic of local action amylmetacresol and an anesthetic drug lidocaine. Adults and children over 12 years of age, these tablets can dissolve in acute tonsillitis no more than 5 times a day and not longer than three days. The active component of Tharyngept is a strong bacteriostatic amphazone; These pills are applied after half an hour after a meal, and after a complete resorption of the tablet, you should not eat at least three hours.

With purulent angina without heat, Tantum Verde, Hexasprey, Anginovag, Bioparox, etc. Are sprayed locally. Spray Tantum Verde removes inflammation and acts as an analgesic due to the non-steroidal anti-inflammatory agent contained in it, benzidamine. Antiseptic, anti-inflammatory and analgesic effect is provided by Hexaspre, which is allowed to use no more than 5 days.

Prevention

As trivial as it may sound, the key point in preventing purulent sore throats without temperature is strengthening immunity, so that bacteria that "flatten" in our body or attacking it from the outside can not manifest their pathogenic properties.

You should definitely avoid hypothermia, consume enough vitamins, cure chronic tonsillitis and timely cure a runny nose, monitor your teeth health and observe the rules of hygiene.

The prognosis of purulent sore throat without a temperature is positive, if it is treated. And if you do not treat or treat with inadequate methods, then, from the angina of the catarrhal to the sore throat lacunar or follicular, as they say, it's a stone's throw away. And if you do not stop the "activity" of beta-hemolytic streptococcus in the palatine tonsils, it is able to attack the ears and paranasal sinuses, and also lead to the development of pharyngeal phlegmon.

In addition, as doctors say, the prognosis of purulent sore throat without temperature looks much less optimistic, if we recall the antibodies produced by the body to fight this streptococcus. However, under the impact of these antibodies, connective tissues of the heart and the myocardium often enter, leading to problems in its work. And the products of vital activity of these streptococci - toxins - get into the lymph and systemic blood flow. And this for the body can turn into intoxication, inflammation of the joints and damage to the glomeruli of the kidneys (glomerulonephritis).

In general, purulent angina without temperature is also a serious disease. Therefore, treat his treatment seriously.

[12], [13]