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 DENOMINATION
Bacterial pharyngitis, Pharyngitis estreptocócica, Sore throat, Infectious pharyngitis, Tonsillitis DEFINITION
The bacterial pharyngitis is a picture of sore throat, fever, general discomfort, inconveniences on having swallowed and presence of inflamed ganglions of the neck that owes to an infection for bacteria, generally the streptococcus beta - hemolítico.
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CAUSES
The bacterial pharyngitis for streptococcus usually appears more often in children of school age and the autumn months and winter. Since it is an infectious illness that is transmitted by the nasal secretion and salivates, there are usually several affected members of the family.
The streptococci it can be present in the gullet of the persons without provoking symptoms, what is called a colonization. Although pharyngitis symptoms do not present this colonization to themselves if it can cause complications as it can be the sharp rheumatic fever.
SYMPTOMS
- Gullet itch
- Make difficult to swallow
- Reddening and presence of white or yellow badges in the tonsils
- High fever
- Inflamed and painful lymphatic ganglions in the neck
- General discomfort.
- Muscular pains for the fever
- Headache
- Loss of the appetite
- Bad breath
- In small children, gastric or abdominal inconveniences
DIAGNOSIS
Before an infectious pharyngitis with many fever and discomfort pharyngeal (smear) must do a cultivation to itself of exudado, to realize a study of the causative bacterium.
Also a blood test to see the speed of globular sedimentation that can be very high.
Also it is necessary to realize the measurement of these antibodies this is what reflects the antiestreptolisinas analysis O ó GRASP IT. The presence of high qualifications of antiestreptolisinas O ó GRASP IT, they indicate an infection for the bacterium Streptococcus betahemolíticos of the type A, that there can produce a glomerulonefritis, a rheumatic fever, a bacterial endocarditis or a scarlet fever.
TREATMENT
With the first analysis or earlier before the suspicion to be with a streptococcus infection beta - hemolítico there happen antibiotics of the group of the penicillin. With it the picture will remain solved in 8 days and there get ready the complications associated with the infections of the Streptococcus betahemolíticos of the type A.
Before colonizations supported with high VSG and high index of GRASP IT, treatments are recommended with penicilinas for weeks.
COMPLICATIONS
Non-treating or treating inadequately an infection for the Streptococcus betahemolíticos of the type A can have the following complications:
- Abscess periamigdalino
- Rheumatic fever
- Glomerulonefritis
- Scarlet fever
TO SEE ALSO
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DENOMINATION 
