Definition

Inflammation of the pharyngeal tonsils.

Etiology/Risk Factors

•           Viral or bacterial infections and immunologic factors.

•           Overcrowded conditions and malnourishment.

Clinical Features

•           Fever

•           Sore throat

•           Foul breath

•           Dysphagia (difficulty swallowing)

•           Odynophagia (painful swallowing)

•           Tender cervical lymph nodes.

Lab Diagnosis

Throat cultures and Sensitivity test

Management

A.              Non-Pharmacological

•           Maintaining adequate hydration and caloric intake.

•           Betadiene or Warm water gargles.

B.              Pharmacological

1.      Antibiotics

•           Amoxicillin with clavulanic acid Adults                625mgPOBD Children          375mg P0 BD

•           Amoxicillin

                   Adults                        500- 875 mg P0 TDS

                   Children                     30-40 mg/kg/day in 3 divided doses

•           Erythromycin: given to those who are sensitive to penicillin

                   Adults                    250-500mg PO q6-12 hrs

                   Children                30-50 mg/kg/day P0 divided q6-12 hr

2.   Analgesics:

•           Paracetamol (Oral, IM)

Adults                        0.5-1 gm every 4-6 hours upto maximum of 4 gms

Children                    10mg/kg every 4-6 hours

•           Ibuprofen

Adults                        400 mg 4-6 hrs

Children                    10mg/kg 8 hourly (6-12yrs)