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Lacunar angina: symptoms and treatment, photos, features in children

The diagnosis of sore throat is familiar to every person since childhood. Not only children, but also adults of any age face its unpleasant symptoms. It should be noted that as a person ages, the incidence of angina decreases.

This is due to the fact that in childhood the pharyngeal ring is the most powerful barrier of all defense mechanisms. So conceived by nature. A huge number of macrophages and cells of the lymphatic system is concentrated in it, secretory cells of the mucous membrane and salivary glands are actively working, the epithelium of the respiratory tract provides powerful protection.

It takes the first blow of pathogenic pathogens, preventing them from penetrating deeper and causing bronchitis, pneumonia and other diseases. Over the years, the activity of the entrance gate falls.

Thus, acute tonsillitis (sore throat) is a kind of protection of the body against deeper penetration of microbes.


What is it - lacunar tonsillitis?

When the germs of the number and aggression can overcome the barrier of the pharyngeal ring - the person develops inflammation of the tonsils with subsequent damage to the whole body.

Sore throat with lacunar form of sore throat, photo

Sore throat with lacunar form of sore throat, photo

Acute tonsillitis or tonsillitis is a common (systemic) acute infectious disease with a primary lesion of the tonsils.

According to the International Classification (ICD-10), lacunar tonsillitis is included in the list of banal primary angina (follicular, lacunar, catarrhal, and necrotic). It also includes secondary (atypical) forms, in which the tonsils are affected along the way. Occurs with measles, rubella, infectious mononucleosis, leukemia, agranulocytosis.

Many tonsillitis are similar - they all affect the tonsils. The difference in the severity of the process, the nature of the location of purulent plaque, the type of pathogen and the features of treatment.

Lacunar tonsillitis is a type of purulent tonsillitis in which the plaque is located in the lacunae of the tonsils.

Causes of lacunar tonsillitis

Most often it occurs as a result of the defeat of the tonsils B-hemolytic streptococcus. Less commonly, streptococci of other groups, viruses, and atypical pathogens are sown.

In children under three years, as a rule, viruses cause sore throat.

High incidence due to ease of transmission of the pathogen. From a sick person, it is transmitted through the air, with water and food, through household items, toys.

Not uncommon when the cause of angina is autoinfection. Due to the weakening of the immune forces, the microbes living on the mucous membrane are activated, an inflammatory focus appears at the site of lymphoid tissue accumulation.

Symptoms of lacunar tonsillitis, photo

Angina is impossible to imagine without a sore throat. This is a leading symptom. Additional complaints are painful swallowing, enlarged cervical and occipital lymph nodes. These are local symptoms.

Photo throat - symptoms of lacunar tonsillitis

Photo throat - symptoms of lacunar tonsillitis

However, if we consider that a sore throat is a systemic disease, the pathology will spread to the entire body and general symptoms will appear. These include: fever, headache, tachycardia, pain in the joints.

Almost all acute tonsillitis have a similar clinical picture. But lacunar angina has its own characteristics.

What you should pay attention to:

  1. A more pronounced onset of the disease, with a sharp rise in temperature to 40 degrees.
  2. More severe course compared with catarrhal or follicular angina due to intoxication.
  3. The specific location of the raids is characteristic - this is the area of ​​the lacunae (indentations) behind the tonsils. Sometimes they merge to form a film covering the entire surface.

Often confused lacunar and follicular sore throat. The picture in the throat with follicular tonsillitis was accurately described by the famous doctor N.Simanovsky: a pus deposit in the form of a "starry sky" is visible on the reddened surface of enlarged tonsils. This is an important diagnostic feature.

High fever is a sure sign of illness

High fever is a sure sign of illness

As soon as, with lacunar tonsillitis, the tonsils go away (3-4 days), the general condition immediately improves. The temperature drops to subfebrile and lasts another day or two. The general symptoms of intoxication subside.

Symptoms in children, especially manifestations

Symptoms of lacunar tonsillitis in a child The pediatric immune system can react violently to streptococcal sore throat. What is more pronounced symptoms of infectious poisoning. At the height of the fever, convulsions, chills and delirium are often noted. The upper respiratory tract swells severely, disturbing breathing.

Children begin to choke and turn blue. Such a dangerous condition often ends with hospitalization.

In infants up to three years old, on the contrary, sore throat is easier than usual. The reason is that it is caused by viruses.

Treatment of lacunar tonsillitis in children and adults

The correct approach in the treatment of lacunar tonsillitis is:

  1. To determine the pathogen (identify) before starting treatment (to diagnose).
  2. Drink an antibiotic for which there is no resistance of the pathogenic microbe (appointed by the doctor! According to the results of the diagnosis).
  3. Observe a full course of antibiotic therapy in order to avoid difficulties in treatment in the future.

For the diagnosis of the pathogen, laboratory antigen tests are used and culture is isolated (the tank is made by seeding for flora). They should be carried out in all cases of angina. It is a pity that the result of sowing is not obtained immediately, but only in a day. This is the disadvantage of the method.

Treatment of lacunar tonsillitis in children and adults

Tests for streptococcal antigens, in contrast, are carried out within a few minutes literally at the bedside.

In real life, antibiotics with lacunar tonsillitis often have to be prescribed blindly, guided by the recommendations of specialists. They prefer b-lactams - phenoxymethylpenicillin, amoxicillin and cephalosporins of the first generation. If you are allergic to these drugs - macrolides.

The optimal drug is considered to be "Amoxicillin" in the form of solutub. In addition to "Amoxicillin", you can use cephalosporins I - "Cefalexin". Such treatment of lacunar angina in adults.

Additional therapy

It includes local therapy with topical antibiotics and antimycotics, antiseptics, and immunomodulators. Anesthetics and anti-inflammatory drugs are appropriate.

The homeopathic remedies and strengthening exercises for the muscles of the pharynx have not lost their value.

Recommended bed rest. Light, nutritious food, mainly dairy, vitamins. Shows copious drinking.

Features of the treatment of lacunar tonsillitis in children

Children up to three years - often drug treatment is not required. Even streptococcal tonsillitis is not difficult and does not cause complications. At this age, you should limit the intake of drugs and the manipulation. Do not try to use iodine-containing drugs, chlorhexidine, propolis, various sprays and Biseptol.

Children under five may have a fungal tonsillitis. “Fluconazole” is then shown.

Classical lacunar tonsillitis appears from six years. In this case, antibiotics are shown in the form of an oral soluble form (suspension Phenoxymethylpenicillin, Amoxicillin, Solutab).

All medicines, especially antibiotics, must be prescribed by a doctor - do not self-medicate!

Complications of lacunar tonsillitis

For lacunar tonsillitis, this is characteristic because there is no strong immunity to streptococcal tonsillitis. And during the recovery period, complications are characteristic:

  • paratonsillar abscess, otitis media;
  • acute rheumatism;
  • rheumatic heart disease;
  • acute and chronic glomerulonephritis

A second wave of fever (after 7–10 days) from the onset of tonsillitis tells about the complication. The disease takes a protracted course. Full recovery does not occur. This is a signal for examination, apparently, there was an undesirable complication.

To reduce the risk of tonsillitis, babies need to be taught to take hygienic measures: wash hands more often, do not pull other people's toys in your mouth.

And adults - to comply with the terms of treatment and doctor's recommendations.


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