Possible Causes for tonsillar exudate Pharyngitis Figure 35-1 Strep pharyngitis showing tonsillar exudate and erythema. ( Courtesy of Michael Nguyen, MD .) [accessmedicine.mhmedical.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] On examination, she has bilateral tonsillar erythema and exudate ( Figure 35-1 ). Her anterior cervical lymph nodes are tender. [accessmedicine.mhmedical.com] 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] Tonsillitis 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] Tender, swollen cervical lymph nodes and tonsillar exudates may occur. The disease is normally self-limiting. [amboss.com] The typical FN-positive AT patient was a smoking young (15-25 years) male presenting with tonsillar exudates and a Centor score of 2 or higher. [ncbi.nlm.nih.gov] Chronic Tonsillitis exudates. [merck.com] Tonsillar exudates. No cough. Tender anterior cervical lymphadenopathy. Patients with one or none of these criteria are unlikely to have GABS. [patient.info] There are four Centor Criteria that may be used: History of fever Tonsillar exudates No cough Tender anterior cervical lymphadenopathy Patients with one or none of these criteria [cmc.ph] Scarlet Fever exudate in only 24% (95% CI: 17-31%). [ncbi.nlm.nih.gov] 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. [analesdepediatria.org] 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] 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] 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 Inherited disorder with marked catalase deficiency resulting in enoral inflammation and teeth destruction. Catalase Deficiency (CAT); Takahara Disease; Hypocatalasia. Heterogeneous group of genetic disorders first discovered in 1948 by Takahara in Japan, an otolaryngologist who found that in cases of progressive[…] [accessanesthesiology.mhmedical.com] Viral Upper Respiratory Tract Infection Physical assessment - General appearance, toxicity, respiratory distress, vital signs - Inspection of throat, tonsillar exudates, redness, oedema 1 - Palpate sinuses; oedema [slideshare.net] […] erythema, and exudate. [oxfordmedicine.com] Tonsillar and pharyngeal exudates can be prominent. [microbiologybook.org] Pharyngeal Disease 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 36 85 2.3 0.76 Tonsillar or pharyngeal exudates 45 75 1.8 0.74 Table 1. [aafp.org] […] a streptococcal infection.One point is given for each of the criteria: Absence of a cough Swollen and tender cervical lymph nodes Temperature more than 38.0 C (100.4 F) Tonsillar [en.wikipedia.org] Necrotizing Ulcerative Gingivitis English necrotizing ulcerative gingivitis (Vincent's angina) or (trench mouth) ANUG Angina - Vincents Trench mouth Vincent angina Vincent's Angina Vincent's angina - pharyngitis (disorder) Vincent's angina NOS Vincent's disease Vincent's infection, any site acute necrotising ulcerative gingivitis acute necrotising[…] [wikidata.org] Upper Respiratory Infection […] erythema, and exudate. [oxfordmedicine.com] Patients with 2 or more of the following features should undergo testing: (1) absence of cough, (2) presence of tonsillar exudates or swelling, (3) history of fever, (4) presence [pediatrics.aappublications.org] […] both bacterial and viral organisms, with sore throat often accompanied by fever, headache, and other symptoms, with or without enlarged and tender cervical lymph nodes, tonsillar [oxfordmedicine.com] 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] Common Cold The most widely used are the modified Centor criteria, which include fever by history, tonsillar exudates, tender anterior cervical adenopathy, and absence of cough ( 36 ) [doi.org] An inflammatory exudate or membranes may cover the tonsils and tonsillar pillars. Vesicles or ulcers may also be seen on the pharyngeal walls. [ncbi.nlm.nih.gov] Lassa Fever Abstract Poor quality housing is an infringement on the rights of all humans to a standard of living adequate for health. Among the many vulnerabilities of those without adequate shelter is the risk of disease spread by rodents and other pests. One such disease is Lassa fever, an acute and sometimes severe viral[…] [ncbi.nlm.nih.gov] Acute Respiratory Infection exudate; no cough ¶ 17–39% Community-acquired pneumonia 0.16 (0.15–0.18) 8 (7 – 9) 0.15 (0.14 –0.17) 72% (69–76%) 0.12 (0.11–0.13) 6 (5–6) 0.2 100% 8 Pertussis 0.06 (0.05 [mja.com.au] Congestion/Exudates. 9. [slideshare.net] The most widely used are the modified Centor criteria, which include fever by history, tonsillar exudates, tender anterior cervical adenopathy, and absence of cough ( 36 ) [annals.org] 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 Lower Respiratory Infection […] or advanced nurse practitioner. 33 It is important that antibiotics are not prescribed haphazardly, and the presence of three or four Centor criteria (history of fever, tonsillar [dovepress.com] An inflammatory exudate or membranes may cover the tonsils and tonsillar pillars. Vesicles or ulcers may also be seen on the pharyngeal walls. [ncbi.nlm.nih.gov] exudates, no cough, tender anterior cervical lymphadenopathy) may be used as a guide to consider prescription of antibiotics. 34 The higher the score, the greater the probability [dovepress.com] Adenovirus Infection exudates and cervical adenitis. [unboundmedicine.com] exudates (in as many as 52% of children), and leukocytosis [25]. [journals.plos.org] […] erythema/exudate Cervical lymphadenopathy Otitis media Conjunctivitis Differential Diagnosis Characteristics of adenovirus infections: Acute respiratory illness Mostly in [unboundmedicine.com] Streptococcus Pyogenes For streptococcal sore throat, symptoms are characterized by fever, enlarged tonsils, tonsillar exudate, sensitive cervical lymph nodes and malaise. [bu.edu] It can cause streptococcal sore throat which is characterized by fever, enlarged tonsils, tonsillar exudate, sensitive cervical lymph nodes and malaise (6, 9). [msdsonline.com] Acute Cystitis fever, tonsillar exudates, tender cervical lymphadenopathy, absence of cough) should receive a RADT. Throat cultures are not routinely recommended for adults. [cdc.gov] Goiter It can cause streptococcal sore throat which is characterized by fever, enlarged tonsils, tonsillar exudate, sensitive cervical lymph nodes and malaise (6, 9). [msdsonline.com] Tonsillar Abscess “hot potato” voice), rancid breath, tonsillar 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 Causative Organisms Streptococcus [pedclerk.bsd.uchicago.edu] Acute Laryngitis A culture positive case of streptococcal pharyngitis with typical tonsillar exudate in an 8-year-old. [en.wikipedia.org] These criteria are: • Tonsillar exudates • Tender anterior cervical adenopathy • Fever by history • Absence of cough If three or four of these criteria are met, the positive [medicalmedia.co.il] exudate in a 16-year-old. [en.wikipedia.org] 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] Chronic Laryngitis Tonsillar exudates. No cough. Tender anterior cervical lymphadenopathy. Patients with one or none of these criteria are unlikely to have GABS. [patient.info] 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.[18] One point is given for each of the criteria:[18] Absence of a cough Swollen and tender cervical lymph nodes Temperature more than 38.0 C (100.4 F) Tonsillar [en.wikipedia.org] Peritonsillar Abscess “hot potato” voice), rancid breath, tonsillar erythema, exudate on the tonsil, cervical lymphadenitis in the anterior chain and asymmetric tonsillar hypertrophy. [clinicaladvisor.com] […] erythema, and exudates are common. [msdmanuals.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] Pneumonia An example of a CDR is the Strep Score (widely known as the Centor Score), which uses tonsillar exudates, swollen tender anterior cervical nodes, lack of a cough, and history [doi.org]
