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Viral Pharyngitis


Presentation

  • Post-streptococcal glomerulonephritis Toxic shock syndrome Postoperative and Rehabilitation Care Household members of patients with group A streptococci should be treated with a full 10-day course of antibiotics without any prior testing only if they present[ncbi.nlm.nih.gov]
  • The Orthomyxoviridae family which cause influenza are present with rapid onset high temperature, headache, and generalized ache. A sore throat may be associated. Infectious mononucleosis ("glandular fever") is caused by the Epstein–Barr virus.[en.wikipedia.org]
Inflammation
  • Nouri, E, Monti, T: Nimesulide granules for the treatment of acute inflammation of the ear, nose or throat. Drugs 1993 ; 46 ( Suppl 1 ): 103 – 106 Google Scholar Crossref Medline 7.[journals.sagepub.com]
  • ". [9] [10] Classification [ edit ] Pharyngitis is a type of inflammation caused by an upper respiratory tract infection.[en.wikipedia.org]
  • Sore throat is caused by inflammation of the throat (pharynx). The pharynx is the area behind the tonsils.[wsupgdocs.org]
  • Introduction Pharyngitis is the inflammation of the mucous membranes of the oropharynx. In most cases, the cause is an infection, either bacterial or viral.[ncbi.nlm.nih.gov]
Infectious Mononucleosis
  • This test for infectious mononucleosis is commonly available, but the ideal standard is to use Epstein-Barr virus serology.[ncbi.nlm.nih.gov]
  • Infectious mononucleosis ("glandular fever") is caused by the Epstein–Barr virus. This may cause significant lymph-node swelling and an exudative tonsillitis with marked redness and swelling of the throat.[en.wikipedia.org]
Streptococcal Pharyngitis
  • Improving Guideline-Based Streptococcal Pharyngitis Testing: A Quality Improvement Initiative. Pediatrics. 2018 Jul; 142 (1) [ PubMed : 29925574 ] 14.[ncbi.nlm.nih.gov]
  • "Re-evaluation of antibiotic treatment of streptococcal pharyngitis". Curr. Opin. Pediatr. 22 (1): 77–82. doi : 10.1097/MOP.0b013e32833502e7. PMID 19996970. a b c Choby BA (March 2009). "Diagnosis and treatment of streptococcal pharyngitis".[en.wikipedia.org]
Severe Pain
  • Sore throat is a common symptom that ranges in severity from just a sense of scratchiness to severe pain. Pharyngitis is the medical term for sore throat. How does it occur? Sore throat is caused by inflammation of the throat (pharynx).[wsupgdocs.org]
Pharyngitis
  • In conclusion, 5 days of treatment with celecoxib 200 mg once daily is as effective as diclofenac 75 mg twice daily in the symptomatic treatment of viral pharyngitis.[journals.sagepub.com]
  • Pharyngitis Other names Acute sore throat Viral pharyngitis resulting in visible redness.[en.wikipedia.org]
  • Older data suggest 1 in 400 untreated cases of strep pharyngitis.[ncbi.nlm.nih.gov]
Rhinitis
  • Differential Diagnosis Airway obstruction from any cause Allergic rhinitis Cancer of the head and neck Gastroesophageal reflux disease Peritonsillar abscess Diphtheria Epiglottitis Herpes simplex virus Mononucleosis Prognosis In developing countries,[ncbi.nlm.nih.gov]
Gastropathy
  • Fries, JF : NSAID gastropathy: epidemiology. J Musculoskel Med 1991 ; 8: 21 – 28 Google Scholar 9. Roth, SH : NSAID gastropathy. Arch Intern Med 1996 ; 156: 1623 – 1628 Google Scholar Crossref Medline 10.[journals.sagepub.com]
Arthritis
  • Celecoxib Long-term Arthritis Safety Study. JAMA 2000 ; 284: 1247 – 1255 Google Scholar Crossref Medline ISI 19.[journals.sagepub.com]
Ulcer
  • Goldstein, JL, Silverstein, FE, Agrawal, NM, Hubbard, RC, Kaiser, J, Maurath, CJ: Reduced risk of upper gastrointestinal ulcer complications with celecoxib, a novel COX-2 inhibitor.[journals.sagepub.com]
  • Herpes simplex virus can cause multiple mouth ulcers.[en.wikipedia.org]

Treatment

  • In conclusion, 5 days of treatment with celecoxib 200 mg once daily is as effective as diclofenac 75 mg twice daily in the symptomatic treatment of viral pharyngitis.[journals.sagepub.com]
  • If the test is positive, treatment should be initiated. If it is negative, particularly in children, a throat culture should be obtained and should guide treatment.[ncbi.nlm.nih.gov]
  • "Re-evaluation of antibiotic treatment of streptococcal pharyngitis". Curr. Opin. Pediatr. 22 (1): 77–82. doi : 10.1097/MOP.0b013e32833502e7. PMID 19996970. a b c Choby BA (March 2009). "Diagnosis and treatment of streptococcal pharyngitis".[en.wikipedia.org]
  • Usually no specific medical treatment is needed if a virus is causing the sore throat. The throat most often gets better on its own within 5 to 7 days. Antibiotic medicine does not cure viral pharyngitis.[wsupgdocs.org]

Prognosis

  • Differential Diagnosis Airway obstruction from any cause Allergic rhinitis Cancer of the head and neck Gastroesophageal reflux disease Peritonsillar abscess Diphtheria Epiglottitis Herpes simplex virus Mononucleosis Prognosis In developing countries,[ncbi.nlm.nih.gov]

Etiology

  • If viral in etiology, associated symptoms often include coughing, rhinorrhea, conjunctivitis, headache, and a rash.[ncbi.nlm.nih.gov]

Epidemiology

  • Fries, JF : NSAID gastropathy: epidemiology. J Musculoskel Med 1991 ; 8: 21 – 28 Google Scholar 9. Roth, SH : NSAID gastropathy. Arch Intern Med 1996 ; 156: 1623 – 1628 Google Scholar Crossref Medline 10.[journals.sagepub.com]
  • Pharyngitis symptoms may also be part of the symptom complexes of other serious illnesses, including peritonsillar abscess, retropharyngeal abscess, epiglottitis, and Kawasaki disease. [3] [4] Epidemiology In 2010, there were 1.814 million emergency department[ncbi.nlm.nih.gov]
  • Alternative [ edit ] Gargling salt water is often suggested, but evidence of its usefulness is lacking. [3] Alternative medicines are promoted and used for the treatment of sore throats. [32] However, they are poorly supported by evidence. [32] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Globally, pharyngitis rates are very high chiefly in countries where antibiotics are overprescribed. [5] [6] Pathophysiology Bacteria and viruses can cause direct invasion of the pharyngeal mucosa.[ncbi.nlm.nih.gov]

Prevention

  • How can I prevent a sore throat? The following suggestions may help prevent a sore throat: Don't share eating and drinking utensils with others. Wash your hands often. Don't let your nose or mouth touch public telephones or drinking fountains.[wsupgdocs.org]
  • Hand washing and maintenance of good personal hygiene is important to prevent spread to others in the home. To prevent recurrence, immunization should be recommended against the flu virus and diphtheria.[ncbi.nlm.nih.gov]
  • Antibiotics are useful to both prevent complications (such as rheumatic fever ) and speed recovery. [17] Fusobacterium necrophorum Fusobacterium necrophorum is a normal inhabitant of the oropharyngeal flora and can occasionally create a peritonsillar[en.wikipedia.org]

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