tonsillopharyngitis%20-%20acute%20(pediatric)
TONSILLOPHARYNGITIS - ACUTE (PEDIATRIC)
Treatment Guideline Chart
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.

Tonsillopharyngitis%20-%20acute%20(pediatric) Signs and Symptoms

Definition

  • Inflammation of the tonsils and pharynx

Etiology

  • Includes bacterial (group A β-hemolytic streptococcus, Haemophilus influenzae, Fusobacterium sp, etc) and 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 and 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 and joint pain
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