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2.1
Viral Pharyngitis

Presentation

Here, we present a case of a young man suffering from severe viral oesophagitis, who developed Crohn's disease several months later. [ncbi.nlm.nih.gov]

However, the bacteria can still be present with little or no fever. [clinicaladvisor.com]

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]

Entire Body System

  • Streptococcal Pharyngitis

    Slideshow Strep Throat Although streptococcal pharyngitis cannot be accurately diagnosed by symptoms or a physical exam alone, there are certain clues that can help you determine if a sore throat is bacterial in nature. [clinicaladvisor.com]

    Viral features and testing for streptococcal pharyngitis. Pediatrics. 2017;139(5):e20163403. [PubMed] [Google Scholar] 18. McIsaac WJ, Kellner JD, Aufricht P. [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]

  • Infectious Mononucleosis

    Infectious mononucleosis testing at the point-of-care. Point Care. 2009;8(1):29–31. [Google Scholar] 32. Womack J, Jimenez M. Common questions about infectious mononucleosis. Am Fam Physician. 2015;91(6):372–6. [PubMed] [Google Scholar] 33. [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]

  • 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]

Respiratoric

  • 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]

Jaw & Teeth

  • Tonsillar Exudate

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

    Based on five clinical criteria, it indicates the probability of a 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]

Workup

Microbiology

  • Chlamydia

    Infections of Yersinia enterocolitica, Chlamydia trachomatis, and Helicobacter pylori were also excluded. Endoscopic image of the oesophagus was normal but scattered aphthae in the duodenal bulb and descending duodenum were described. [ncbi.nlm.nih.gov]

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]

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]

Epidemiology of esophageal and supraesophageal reflux injuries. Am J Med. 2000; 108 :99–103. [ PubMed ] [ Google Scholar ] 2. Thor PJ. Oesophagus diseases. In: Konturek SJ, editor. [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]

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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