ACUTE PHARYNGITIS It is clinical condition characterized by inflammation of lining mucosa of pharyngeal wall and subepithelial lymphoid follicles. Predisposing factors 1. Common cold 2. Influenza 3. Measles 4. Scarlet fever 5. Exposure to air pollutants. Smoking 6. Rhinitis Types of pharyngits 1. Bacterial pharyngitis 2. Viral pharyngitis ACUTE BACTERIAL PHARYNGITIS Acute pharyngitis can occur as an isolated condition Sometimes the pharynx is involved together with the tonsils and it is called pharyngotonsillitis causes of acute pharyngitis 1. Viral a. Rhinoviruses b. Influenza c. Parainfluenza d. Measles, chickenpox e. Coxsackie virus f. Herpes simplex g. Infectious mononucleosis h. Cytomegalovirus 2. Bacterial a. Group A, B -memolytic streptococcus b. Diphtheria c. Conococcus 3. Fungal a. Candida albicans b. Chlamydial trichomatis 4. Miscellaneous a. toxoplasmosis Clinical feature Sorethroat: worse on swallowing Fever:+/- Odynophagia but not dysphagia O/E; congested pharyngeal wall Treatment: 1. Bed rest 2. Plenty of fluid 3. Warm saline gargle Analgesics 1. Paracetamol 2. Aspirin 3. Nimesulide 100mg *bd Lignocaine can be used to reduce pain during swallowing Lacal discomfort in the throat Antibiotics a. Group A, B -memolytic streptococcus a. Penicillin v 200,000-250000 units per oral*qid for 10 dys or b. Benzathine penicillin G i. <30kg data-blogger-escaped-body="" data-blogger-escaped-i="" data-blogger-escaped-ii.="" data-blogger-escaped-once="" data-blogger-escaped-units="" data-blogger-escaped-wt="600,000">30kg body wt =120,000 units once IM (12lacks) b. In penicillin sensitive infividuals a. Erythromycin 20-40mg/kg/day in divided oral dose for 10 dys c. Gonococcal pharyngitis a. Penicillin b. Tetracycline Symptomatic treatment Complication Same as acute tonsillitis