tonsillopharyngitis%20-%20acute%20(pediatric)
TONSILLOPHARYNGITIS - ACUTE (PEDIATRIC)
Tonsillopharyngitis is the inflammation of the tonsils and pharynx.
Etiologies include bacterial and viral pathogens.
Sore throat is the most common presenting symptom in older children.

Definition

  • Inflammation of the tonsils & pharynx

Etiology

  • Includes bacterial (group A β-hemolytic streptococcus, Haemophilus influenzae, Fusobacterium sp, etc) & viral (influenza, adenovirus, coronavirus, rhinovirus, etc) pathogens 

Signs and Symptoms

  • Sore throat is the most common presenting symptom in older children
Sore throat with complications
  • Trismus
  • Inability to swallow liquids
  • Increased salivation or drooling
  • Peritonsillar edema
  • Deviation of uvula
  • Asymmetry & forward displacement of the soft palate

Signs of upper airway obstruction

  • Stridor
  • Air hunger
  • Respiratory distress
  • Toxic appearance
  • Cyanosis
Group A beta-hemolytic streptococcus (GABHS) infection
  • Sore throat/tonsillar swelling/exudates
  • Swollen anterior cervical nodes
  • Fever >38ºC (low grade fever <38°C in children <3 years old)
  • Lack of cough, conjunctivitis, rhinorrhea, hoarseness
  • Symptoms in a patient aged 5-15 years

Viral etiology

  • Rhinorrhea
  • Cough
  • Hoarseness
  • Conjunctivitis
  • Diarrhea
  • Oropharyngeal ulceration
  • Muscle & joint pain
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