The cause of inflammation in the oropharynx are focal clusters of bacteria, all kinds of viruses and fungi. Classification of angina by type of pathogen, area of distribution and degree of development helps to select in each specific case the most effective treatment and prevent undesirable consequences.
Angina Simanovsky-Plauta-Vincent
Synonyms of the disease: Ulcerative necrotic tonsillitis, ulcerative-membranous tonsillitis.
This form does not currently lead to epidemics and occurs in isolated cases.
Causes ulcerous tonsillitis of Vincent's spirochete in conjunction with spindle-shaped rods of Plaut-Vincent.
However, being components of a natural microflora, in a strong organism they are not dangerous in themselves. Only a significant weakening of the protective mechanisms of immunity can lead to their excessive reproduction and cause disease.
Unlike the common streptococcal forms of the Simanovsky-Plaut-Vincent's angina, there is no acute pain symptomatology and a significant increase in temperature.
Necrotic processes( necrosis of tissues) have a one-sided character, affecting mainly only one of the glands. Ulcers without appropriate treatment can go deeper inside, affecting even bone tissue.
Viral angina occurs without purulent discharge, and fungal infections do not damage the mucous oropharynx.
Features of the Simanovsky-Plaint-Vincent angina
Causes of the disease
- Strong weakening of the protective mechanisms of immunity.
- Chronic diseases.
- Pathologies of the immune system.
Unsanitary conditions exacerbate each of the above reasons.
Species
- False - pleated form is characterized by the appearance of a thin coating on the glands. It develops against the background of staphylococcal infection.
- The peptic ulcer is manifested by the appearance on one of the glands of ulcerative formations covered with a dirty yellow coating.
Aggravating factors, risk group
Population categories living in adverse social and climatic conditions are most at risk of infection.
In addition, the weakness of the body provokes:
- Small infectious foci( caries, periodontal disease, rhinitis, stomatitis).
- Depletion.
- Avitaminosis.
- Chemotherapy treatment.
- Chronic fatigue syndrome.
- Stress states.
- Parasitic infections.
- Diabetes mellitus.
- Long-term antibiotic treatment.
- Smoking.
- Diseases of the blood.
- Radioactive irradiation.
- Frequent exposure to toxins.
About the causes and symptoms of angina, more in our video:
Symptoms and signs
The angina of Simanovsky-Plaut-Vincent develops gradually and often even unnoticeably. The period of development is 7-8 days. At visual inspection, there is a dirty yellow coating on the affected gland, which is easily removed, allowing you to see ulcers on tonsil tissues.
In adults
- Sore throat is weak at the initial stage.
- When swallowed, there is a foreign object in the pharynx.
- The temperature remains normal, rarely rising above 37.5 °.
- Puffiness appears in the area of the glands.
- The submaxillary lymph node is enlarged from the side of inflammation.
- There are no strong tendernesses to the ulcers.
- A putrid smell comes from the mouth.
- There is an excessive secretion of the secretion of the salivary glands.
In the photo the oropharynx affected by necrotic sore throat with visual inspection
In children
- Bacterial diseases in small patients can occur in a more acute form.
- Possible abnormalities in the work of the stomach and intestines.
- Long crying in infants, caused by unpleasant sensations in the throat, leads to an increase in temperature and sleep disturbance.
- Appetite worsens.
Diagnosis
The following data are important to the doctor during the initial examination:
- Time of onset of symptoms.
- Names of medications used.
- Recently suffered diseases.
- Presence of chronic ailments.
Next, a thorough examination of the throat, assesses the condition of the submaxillary lymph nodes, listen to the heart and lungs.
In the initial stages, many types of angina have about the same symptomatology, so after a primary examination the competent specialist will necessarily refer the patient to the following procedures:
- A throat swab is the most important stage of the examination. Only with its help it is possible to accurately determine the type of pathogen and the presence of mixed infections.
- A blood test for this type of angina shows an increase in white blood cells and an increased rate of erythrocyte sedimentation( ESR).
If necessary, an evaluation of immune responses to pathogens is made and an antibioticogram is made( in cases when the disease is started, and an effective group of antibiotics is required).
Visual signs of different types of angina
Treatment of
The angina of Simanovsky-Plaut-Vincent is a rare but serious disease. It is treated, as a rule, longer than streptococcal tonsillitis, but antibiotics in the early stages of application is undesirable. This is due to the fact that taking antibiotics creates a stable pathogenic microflora in the body, which, having joined the primary infection, can significantly complicate the treatment.
Medication
Initial local therapy is reduced to the treatment of ulcerative formations. For these purposes are used:
- Manganese solution.
- Silver nitrate( in the form of solutions or ointments).
- Furacilin.
- Potassium chloride. Hydrogen Peroxide( solution).
- Glycerin solution of novarsenol.
- Tincture of chlorophyllipt.
- Lugol's solution.
In the absence of improvements, antibiotics are prescribed:
- Penicillin series( Ospen, Amoxicillin, Ampicillin, Augmentin).
- Cephalosporins( Cefazolin, Cefadroxil, Ceftriaxone, Suprax).
- Group of macrolides( Sumamed, Clacid, Erythromycin, Zimaks).
Children and pregnant women are prescribed Bioparox, Fusafungin, Gramicidin.
Folk remedies
When rinsing the throat, it is more important not to choose the remedy, but the frequency and regularity of the procedures. Breaks between rinses are from half an hour to two hours.
Rinse solutions:
- Salt with soda( in equal proportions of a teaspoon per glass of water).
- Garlic infusion.
- A strained broth of beets.
- Seawater.
- Spirituous infusion of beets and cranberries with the addition of honey.
- Infusion of plantain leaves.
- Diluted apple cider vinegar.
- Lemon juice.
- Green tea. A mixture of marigold, chamomile and St. John's wort.
Physiotherapy
- Exposure to dry heat( when using ultraviolet and laser).
- Wave action by ultrasound.
- Magnetotherapy.
The purpose of these procedures is the resumption of blood supply to the tonsils and lymph nodes. They also contribute to the removal of edemas and the reduction of harmful microorganisms.
The course of treatment is 10 - 12 procedures. For health they are completely safe.
How to quickly cure sore throat, see in our video:
Features of treatment during pregnancy
- Physiotherapy, as well as inhalations and other thermal effects are contraindicated for future mums.
- As the temperature rises, you should not take aspirin, it increases the risk of bleeding.
- To multicomponent herbal rinse should be treated with caution, allergic reactions to certain natural components may occur.
- Treatment of pregnant women is carried out in an infectious disease hospital under constant medical supervision. Appoint additional examinations.
- If the doctor prescribed antibiotics, the course can not be independently interrupted or exceeded the dose. Modern medicines are less dangerous for a future child than complications that necrotic angina can cause.
- The risk of mixed infection will be reduced by careful personal hygiene.
Possible complications than dangerous disease
The launched forms of ulcerative-arthritis tonsillitis are capable of causing the following pathologies:
- Infection of the blood.
- Partial destruction of gums. Necrosis of the glands.
- Toxic shock.
- Abscesses.
Mixed bacterial forms provoke diseases of the heart, liver and kidneys.
About complications after sore throat, see in our video:
Prevention and precautions for communicating with a patient
Angina Simanovsky - Plauta - Vincent refers to conditionally non-contagious diseases. However, people with poor immunity on contact should take precautionary measures:
- Wear gauze bandage.
- Regular hand washing.
- Disinfection of household items used by the sick person.
After discharge from the hospital, it is necessary to clean the house every day and to ventilate the room several times a day.
Safety precautions
Forecast
To cure a necrotic sore throat really for 2 - 4 weeks.
The severity of the course depends on the concomitant diseases and the stage of development. At the initial stages, a cure without antibiotics is possible, but the neglected stages do not respond well to therapy and cause a number of negative consequences.
Self-medication of this disease can not be dealt with. Required stay in the hospital.