Angina

July 2017


Definition

We can distinguish several kinds of Angina, the most common being sore throat (erythematous) and tonsillitis (erythematous pulpy). Both can be (most frequently) viral or bacterial. A throat infection is a local infection that causes severe pain in the throat, caused by an inflammatory reaction. With a sore throat, the color inside the groove of the patient's tonsils turns red. A throat infection in all its forms is a fairly common and benign disease, when properly cared for. It affects 9 million French people each year.

Diagnosis

At the first signs of a throat infection, the patient should go to his doctor, who will then make a diagnosis. The first step is to ask questions, which depending on the clinical signs, will lead the caregiver to diagnose a viral or bacterial origin. If in doubt about a bacterial origin, the doctor may conduct a test called an RDT. The physician uses what resembles a large cotton swab and rubs it on the amygdala. Depending on the type of throat infection, the swab culture will react differently in contact with a reagent. The doctor then knows if the throat is viral or Streptococcal (ie bacterial) and is able to determine which treatment is best.

Symptoms

Both throat infections and tonsillitis cause severe pain in the throat, especially when swallowing. A red coloration of the tonsils and pharynx can be observed. Fever, headache, coughing, and local lymphadenopathy sometimes accompany a throat infection. If it is viral, it can last up to one week. In general, throat infections occur in children under 15 years.

Treatment

The treatment will not be the same for viral or bacterial throat infections. For a viral sore throat, treatment consists of medication countering the effects pain and fever (paracetamol, anti-inflammatories, aspirin...). When the infection is bacterial, the patient must also take antibiotics. It is important to follow the course of treatment, even when the symptoms have disappeared. This prevents relapse, but also the transmission of the infection to others.

Prevention

Angina is transmitted by contact with an infected person. Like anything that can be transmitted, avoid direct contact with the sick person. The affected person should also make sure to wash his hands and to dress warmly (protecting the mouth and nose) so as not to transmit the infection via sneezing.

Related

Original article published by . Translated by Jeff. Latest update on September 15, 2016 at 05:59 AM by IsraelCCM.
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