Tonsillar Exudate: Causes & Reasons

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Possible Causes for Tonsillar Exudate

Pharyngitis

Figure 35-1 Strep pharyngitis showing tonsillar exudate and erythema. ( Courtesy of Michael Nguyen, MD .) [accessmedicine.mhmedical.com]

On physical exam, she has anterior cervical lymphadenopathy and patchy tonsillar exudates and swelling. [medbullets.com]

On examination, she has bilateral tonsillar erythema and exudate ( Figure 35-1 ). Her anterior cervical lymph nodes are tender. [accessmedicine.mhmedical.com]

Chronic Tonsillitis

The clinical presentation initially focuses on symptoms such as cervical lymphadenopathy, presence of tonsillar exudates, fever and swallowing difficulties, which is considered [symptoma.com]

Tender, swollen cervical lymph nodes and tonsillar exudates may occur. The disease is normally self-limiting. [amboss.com]

exudates. [merck.com]

Acute Catarrhal Tonsillitis

Tender, swollen cervical lymph nodes and tonsillar exudates may occur. The disease is normally self-limiting. [amboss.com]

Tonsillitis A culture positive case of Streptococcal pharyngitis with typical tonsillar exudate Pronunciation Template:IPAc-I ya ɒ TON-si-LY-tis Specialty Infectious disease [en.wikipedia.org]

Sore throat Pharyngeal erythema More common in viral pharyngitis: nasal congestion, coryza, and hoarseness More common in bacterial pharyngitis: fever, tonsillar exudate, [amboss.com]

Pharyngitis due to Group A Beta-Hemolytic Streptococcus

Physical examination may reveal erythema and swelling of the pharynx, enlarged and erythematous tonsils, tonsillar exudate and palatal petechiae. [drplace.com]

A culture positive case of streptococcal pharyngitis with typical tonsillar exudate in an 8-year-old. [en.wikipedia.org]

exudates 36 85 2.3 0.76 Tonsillar or pharyngeal exudates 45 75 1.8 0.74 Table 1. [aafp.org]

Scarlet Fever

The syndrome occurs in less than 10% of cases of streptococcal tonsillopharyngitis and classically presents with fever, pharyngeal erythema with tonsillar exudates, and a [amboss.com]

exudate in only 24% (95% CI: 17-31%). [ncbi.nlm.nih.gov]

exudate. [analesdepediatria.org]

Infectious Mononucleosis

exudates, fever, and absence of cough are less likely than with streptococcal pharyngitis or infectious mononucleosis Table 1. [aafp.org]

Fatigue and malaise may persist for several months after the acute infection has resolved. [ 6 ] Sore throat; tonsillar enlargement is common, classically exudative and may [patient.info]

Fatigue and malaise may persist for several months after the acute infection has resolved.[6] Sore throat; tonsillar enlargement is common, classically exudative and may be [patient.info]

Kawasaki Disease

exudates or ulcers erythema and oedema of hands and feet – this is a common feature but may only manifest as failure or refusal to weight-bear. [racgp.org.au]

Photophobia and eye pain are seldom present erythema of oral and/or pharyngeal mucosa – may include strawberry tongue, red pharynx and/or red and cracked lips, but no tonsillar [racgp.org.au]

Corynebacterium Diphtheriae

She had conjunctival erythema, cracked, red lips, and bilateral tonsillar exudates. Cervical nodes were tender and not fluctuant. Plantar desquamation was present. [pediatrics.aappublications.org]

Tonsillitis

Tender, swollen cervical lymph nodes and tonsillar exudates may occur. The disease is normally self-limiting. [amboss.com]

PATIENTS AND METHODS: 50 patients presenting sore throat associated with erythema and/or pharyngeal tonsillar exudate with or without scarlatiniform rash, fever and malaise [ncbi.nlm.nih.gov]

Patients may present with a variety of symptoms including painful throat (may be unilateral), dysphagia, fevers, tender cervical lymphadenopathy and/or tonsillar exudate. [radiopaedia.org]

Streptococcal Pharyngitis

Tonsillar swelling, tonsillar exudates, tender or enlarged anterior cervical lymph nodes, absence of cough and absence of rhinorrhea were associated with positive cultures [ncbi.nlm.nih.gov]

The strongest independent predictors of GABHS pharyngitis are patient age of five to 15 years, absence of cough, tender anterior cervical adenopathy, tonsillar exudates, and [ncbi.nlm.nih.gov]

GABHS pharyngitis often presents with fever, sore throat, tonsillar exudates, and anterior cervical lymphadenopathy. [ncbi.nlm.nih.gov]

Acatalasia

Preferred Name Acatalasia [Disease/Finding] Synonyms Acatalasia ID http://purl.bioontology.org/ontology/NDFRT/N0000004165 altLabel Acatalasia Takahara Disease Takahara's Disease Acatalasemia cui C0268419 MESH DEFINITION A rare autosomal recessive disorder resulting from the absence of CATALASE activity. Though[…] [bioportal.bioontology.org]

Pharyngeal Disease

exudates 36 85 2.3 0.76 Tonsillar or pharyngeal exudates 45 75 1.8 0.74 Table 1. [aafp.org]

The absence of tender anterior cervical adenopathy, tonsillar enlargement, and tonsillar or pharyngeal exudate was most useful in ruling out GABHS. [aafp.org]

Cervical node lymphadenopathy and pharyngeal or tonsillar inflammation or exudates are common signs. [aafp.org]

Necrotizing Ulcerative Gingivitis

Abstract A study of some of the possible contributing factors in ANUG were evaluated by a comparison of ANUG patients with a random patient sample. This paper supports the role of stress and smoking in the pathogenesis of ANUG. [ncbi.nlm.nih.gov]

Lassa Fever

Lassa fever (LF) is a devastating hemorrhagic viral disease that is endemic to West Africa and responsible for thousands of human deaths each year. Analysis of humoral immune responses (IgM and IgG) by antibody-capture ELISA (Ab-capture ELISA) and Lassa virus (LASV) viremia by antigen-capture ELISA (Ag-capture[…] [ncbi.nlm.nih.gov]

Diphtheritic Neuropathy

A 29-year-old Haitian man had a sore throat with a marked tonsillar exudate followed by the onset of increasingly blurred vision with swallowing difficulties and, then, a [ncbi.nlm.nih.gov]

Abstract A 29-year-old Haitian man had a sore throat with a marked tonsillar exudate followed by the onset of increasingly blurred vision with swallowing difficulties and, [prohealth.com]

laryngeal, or nasal and is often accompanied by a characteristic membranous exudate. [jnnp.bmj.com]

Viral Pharyngitis

Clinical manifestations frequently include fever, tonsillar exudates, painful cervical adenopathy, pharyngeal erythema, and ear pain. [ncbi.nlm.nih.gov]

exudate or swelling Age less than 15 (a point is subtracted if age is more than 44) The Infectious Disease Society of America recommends against empirical treatment and considers [en.wikipedia.org]

exudates, and cervical adenopathy. [ncbi.nlm.nih.gov]

Exudative Pharyngitis

By using a cohort study design in a college health service, patients with exudative pharyngitis were retrospectively identified by description of tonsillar exudate on chart [ncbi.nlm.nih.gov]

Abstract The isolation rates of strains of group C beta-hemolytic streptococci from throat swab cultures of patients with exudative pharyngitis, the common cold, and healthy [ncbi.nlm.nih.gov]

Streptococcal Infection

In the RADT positive group, there were more patients with tonsillar exudate, neck lymph node enlargement, tenderness and pharyngeal abscess formation significantly (p＜0.05 [kjorl.org]

A culture positive case of streptococcal pharyngitis with typical tonsillar exudate in an 8-year-old. [en.wikipedia.org]

exudate) Individuals with strep throat can experience other associated signs and symptoms as well, which may include any of the following: Headache Abdominal pain Nausea [emedicinehealth.com]

Chronic Pharyngitis

exudate or swelling Age less than 15 (a point is subtracted if age is more than 44) The Infectious Disease Society of America recommends against empirical treatment and considers [en.wikipedia.org]

[…] streptococcal infection. [17] One point is given for each of the criteria: [17] Absence of a cough Swollen and tender cervical lymph nodes Temperature more than 38.0 °C (100.4 °F) Tonsillar [en.wikipedia.org]

Viral Upper Respiratory Infection

[…] erythema, and exudate. [oxfordmedicine.com]

Tonsillar and pharyngeal exudates can be prominent. [microbiologybook.org]

Physical assessment <ul><ul><li>- General appearance, toxicity, respiratory distress, vital signs </li></ul></ul><ul><ul><li>- Inspection of throat, tonsillar exudates, redness [slideshare.net]

Tonsillectomy

exudate, or positive test for group A β-hemolytic streptococcus. [ncbi.nlm.nih.gov]

exudate, or positive test for group A beta-hemolytic streptococcus. [aafp.org]

exudate, or positive test for group A beta-hemolytic streptococcus. (1) Incorporating new evidence profiles to include the role of patient preferences, confidence in the [ncbi.nlm.nih.gov]

Fusobacterium Infection

exudate). [blogs.jwatch.org]

The team obtained clinical information including history of fever; presence of cough; swollen, tender cervical lymphadenopathy; and tonsillar exudates to calculate the Centor [consultant360.com]

[…] to prescribe antibiotics for patients with a pharyngitis score of 3 or 4 (three or four of the following: fever, absence of cough, tender anterior cervical lymph nodes, tonsillar [blogs.jwatch.org]

Gonococcal Pharyngitis

The absence of tender anterior cervical adenopathy, tonsillar enlargement, and tonsillar or pharyngeal exudate was most useful in ruling out GABHS. [aafp.org]

Classic physical findings include fever, cervical adenopathy, and posterior pharyngeal and tonsillar erythema and exudates. [cdemcurriculum.com]

GABHS is the most common bacterial cause of pharyngitis. 16 – 18 GABHS Infection Symptoms of strep throat may include pharyngeal erythema and swelling, tonsillar exudate, [aafp.org]

Candida Pharyngitis

exudate or swelling Age less than 15 (a point is subtracted if age is more than 44) The Infectious Disease Society of America recommends against empirical treatment and considers [en.wikipedia.org]

Findings on examination may include petechiae of the palate, pharyngeal and tonsillar erythema and exudates, and anterior cervical adenopathy. 6 Children often present with [mdedge.com]

Gamma-Hemolytic Streptococcus

About 20% of patients present with sore throat, fever, a beefy red pharynx, and a purulent tonsillar exudate. [msdmanuals.com]

Infectious Mononucleosis Hepatitis

exudate Nausea / vomiting / GI symptoms. [almostadoctor.co.uk]

Fatigue and malaise may persist for several months after the acute infection has resolved. [ 6 ] Sore throat; tonsillar enlargement is common, classically exudative and may [patient.info]

Exudate No cough Often in a bacterial cause, there is asymmetrical cervical lymphadenopathy also. [almostadoctor.co.uk]

Tonsillar Abscess

[…] erythema, exudate on the tonsil, cervical lymphadenitis in the anterior chain and asymmetric tonsillar hypertrophy. [clinicaladvisor.com]

Etiology Often progresses from exudative tonsillitis->tonsillar cellulitis->abscess Usually bacterial and polymicrobial with an over-representation of GAS, s milleri and anaerobes [ucsfmed.wordpress.com]

tonsillar tissue with possible “pointing" of abscess Inferior and medial displacement of the tonsil Cervical adenopathy Rancid or fetor breath https://www.studyblue.com/notes [pedclerk.bsd.uchicago.edu]

Lemierre Syndrome

Patient 3 revealed bilateral tonsillar enlargement with exudate and left neck tenderness. [ncbi.nlm.nih.gov]

His throat appeared inflamed, but there was no tonsillar exudate. His cervical lymph nodes were tender and enlarged. [cmaj.ca]

Patient 1 developed right facial swelling, neck tenderness, trismus, and tonsillar exudate. [ncbi.nlm.nih.gov]

Mumps Meningitis

He did not have poor dentition, dental abscesses, stridor, meningismus, trismus, tonsillar exudate, erythema, or edema. [academic.oup.com]

Peritonsillar Abscess

[…] erythema, exudate on the tonsil, cervical lymphadenitis in the anterior chain and asymmetric tonsillar hypertrophy. [clinicaladvisor.com]

[…] erythema, and exudates are common. [merckmanuals.com]

Usual Rare None None Tonsillar exudates Occasional (mononucleosis) Usual Often None Tonsillar asymmetry None None Usual None Trismus None None Usual None Cervical adenopathy [clinicaladvisor.com]