Acute

Diseases of
Throat
 Acute pharyngitis
Rhinopharyngitis
(epypharyngitis, nasopharyngitis) Mesopharyngitis

Acute inflammation of upper part Acute inflammation of middle

oh throat (nasoparhyngitis) part of throat (oropharyngitis)

More prevalence in child; Same prevalence on adult and

children. May be as sign of
In combine with adenoiditis
influenza
 Acute pharyngitis
Clinical manifestations
Rhinopharyngitis Mesopharyngitis
(epypharyngitis,
nasopharyngitis)

Discomfort, dryness, tickle in

Dryness, smarting and
throat
tickle in throat
 Mucus hyperproduction in
Swallowing pain (more on
nasopharings
“empty draught”)
 Nasal obstruction
 Euvstachian tube disfunction
Acute pharyngitis
Pharyngoscopy
 Acute tonsillitis
(quinsy)
Acute common disease, with local inflammation
of lymphadenoidal tissue of palatine or other
tonsils
Classification of acute tonsillitis
On Anatomy localization

 Inflammation of palatine
tonsils (more frequently)
 Inflammation of tongue tonsil

 Inflammation of throat
tonsil (adenoiditis)
Inflammation of tubarial
tonsils
Adenoiditis
 Classification of acute tonsillitis
Ethnology

 Streptococcus pyogenes or group А

streptococcus - GAS (80%)
 Staphylococcus aureus
Pneumococcus
 Adenovirus
 Micosis
 Specifically microflore
 Classification of acute tonsillitis
By birth

 Episodical
tonsillitis (Autoinfection as result of
immunity lowering)

 Epydemical tonsillitis (infection from other

patient thought air)

Recurrence of chronic tonsillitis

 Clinical classification of
Acute tonsillitis

Secondary
Primary Atypical
 Scarlet fever
 Catharalis  Diphtheria
 Ulcer-necrosis tonsillitis
Lacunaris  Tularemy Symanovsky-Plout-Vensan
 Typhoid Micosal tonsillitis
Follicularis
 Mononucleosis  Herpetical tonsillitis
Phlegmonosis
 Blood diseases (leucosis)
Primaries tonsillitis
Tonsillitis catharalis
Primaries tonsillitis
Tonsillitis lacunaris
Primaries tonsillitis
Tonsillitis follicularis
 Primaries tonsillitis
Combined follicular and lacunar studies
Primaries tonsillitis
Phlegmonosal tonsillitis
 Secondary Tonsillitis
Diphtheria

Toxical form
Local form
 Atypical tonsillitis
Symanovsky-Plout-Vensan tonsillitis
 Atypical tonsillitis
Micosal tonsillitis (pharyngomicosis)
Atypycal tonsillitis
Herpetical tonsillitis
 Therapy of tonsillitis
Antibiotics (Penicilline group - amoxicilline,
amoxicilline/clavulanat, cephalosporin group – cephuroxim,
cephtazidim, Phtorchinolon group – moxifloxacine, ofloxacine)

 Local therapy (antiseptics, antinflammatory medicines)

Symptomatically therapy
Vitamin therapy
 Complications

Common Local

 Rheumatism Parapharyngeal
Heart valve diseases abscess

Cardiological pathology Peritonsillar abscess

Acute nephritis Rethropharyngeal

abscess
 Complications
Peritonsillar abscess
Purulent Inflammation of paratonsillar cellular tissue between
tonsillar capsule and muscles

Studies

Edema
Paratonsillitis
Infiltration
Abscessing Peritonsillar abscess
 Complications
Peritonsillar abscess

Clinical manifestations
Starting after ending of acute tonsillitis or together
More cases – one-sided process
 Big pain in throat on the inflammation side
Thrizmus of musc. Masetter – the patient can`t open
his mouth
 Complications
Peritonsillar abscess

Typical localization

Anterior (70%)

Posterior (16%)

Inferior (7%)

Lateralis (4%)
Complications
Peritonsillar abscess
 Treatment of peritonsillar abscess

Edema or infiltration study – Hospitalization, curation,

antibiotics, diagnostic punction

Abscessing study

Incision and drainage of Abscesstonsillectomy

abscess. Tonsillectomy after 1
month
Lancing of peritonsillar abscess