PHARYNGO-TONSILLITIS

Inflammation of the tonsils

Cause

  • Streptococcal infection (most common)
  • Viral infection (less common)

Clinical features

  • Sudden onset, most common in children
  • Sore throat
  • Fever, shivering, headache, vomiting
  • Tonsils enlarged and with exudate and cervical lymph nodes

Complications

  • Local: peritonsillar cellulitis and abscess (quinsy),
  • Systemic complications: bacterial endocarditis, glomerulonephritis, rheumatic fever

Differential diagnosis

  • Pharyngitis
  • Submandibular lymphadenitis

Investigations

  • Throat swab: For C&S

MANAGEMENT

Bacterial pharyngotonsillitis

  • Phenoxymethylpenicillin 500 mg every 6 hours for 10 days
  • Child: 10-20 mg/kg per dose
  • Or Benzathine penicillin 1.2 MU IM single dose
  • Child: <30 kg: 30,000 IU/kg

If allergic to penicillin

  • Erythromycin 500 mg every 6 hours for 10 days
    Child: 12.5 mg/kg per dose

Viral pharyngotonsillitis

  • Treat symptomatically with analgesics and increased oral fluids