Differential diagnosis of acute tonsillopharyngitis
- Authors: Guseva A.L.1, Levina L.V.1, Derbeneva M.L.2
-
Affiliations:
- Pirogov Russian National Research Medical University
- Pirogov City Clinical Hospital №1
- Issue: Vol 22, No 11 (2020)
- Pages: 16-20
- Section: Articles
- URL: https://journals.rcsi.science/2075-1753/article/view/95342
- DOI: https://doi.org/10.26442/20751753.2020.11.200422
- ID: 95342
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Abstract
Acute tonsillopharyngitis (ATP) is one of the most common diseases that makes patients to search for primary medical care. In clinical practice, the differential diagnosis of streptococcal and viral pharyngitis is based on clinical manifestations along with express diagnostics. In pharyngitis caused by group A р-hemolytic streptococcus, febrile temperature, sore throat, plaque on the tonsils and lymphadenopathy in the anterior part of the neck are most characteristic signs and symptoms, while viral pharyngitis is typically associated with conjunctivitis, rhinitis, cough and diarrhea. In streptococcal pharyngitis, antibacterial therapy is indicated to prevent potential severe complications (including acute rheumatic fever and glomerulonephritis) while in viral pharyngitis -symptomatic treatment and plenty of drinking. In addition, ATP may be a symptom of infectious mononucleosis, acute retroviral syndrome in primary HIV infection and Kawasaki disease, pharyngeal diphtheria and hematological diseases. Purulent infections, including Lemierre's syndrome, Ludwig's angina, paratonsillitis, parapharyngitis, and retropharyngeal abscess, should also be considered in the differential diagnosis of ATP.
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##article.viewOnOriginalSite##About the authors
Aleksandra L. Guseva
Pirogov Russian National Research Medical University
Email: alexandra.guseva@gmail.com
канд. мед. наук, доц. каф. оториноларингологии лечебного фак-та Moscow, Russia
Luliia V. Levina
Pirogov Russian National Research Medical Universityканд. мед. наук, доц. каф. оториноларингологии лечебного фак-та Moscow, Russia
Mariia L. Derbeneva
Pirogov City Clinical Hospital №1канд. мед. наук, врач-оториноларинголог Moscow, Russia
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