Abscess of the throat and how to recognize it and cure it?
Abscess of the throat - purulent inflammation of the cellulose and lymph nodes of the paratonlesillar, okologoletochnoy or zagrugal area. Most often it develops as a consequence of angina, but it can occur with mastoiditis, pharyngitis, purulent otitis, traumas of the mucous throat, etc.
The throat abscess is a general concept combining three diseases according to the ICD-10:
- paratonlesillar( tonsil abscess )
- zasopharyngeal
- peripharyngeal
Etiology and pathogenesis of
The causative agents causing inflammation of the throat are streptococci and staphylococci, much less often, Escherichia coli, Klebsiella, Proteus.
In addition to the infectious agent, other conditions are necessary for the development of inflammation:
- decrease in body reactivity,
- hypothermia,
- hypovitaminosis, etc.
Infection of the infectious agent from the primary lesion occurs by hematogenous or lymphogenous pathway.
Symptoms of a throat abscess
The disease usually begins sharply, with the temperature rising to 39-40 ° C.The main complaint is sore throat when swallowing, which tends to intensify.
With a paratonsillar abscess, the pain can be one-sided, since only one amygdala is affected. If the abscess gorladostigaet large sizes, swallowing becomes impossible - in such patients there is an abundant accumulation of saliva, an unpleasant odor from the mouth. When the disease is localized in the zygopharyngeal space, difficulty in breathing, stridor can be observed. Patients also complain of severe headaches and muscle pain.
On examination, the skin on the affected side is hyperemic, swollen, hot to the touch. When palpation, tenderness and swelling of the adjacent lymph nodes are noted, the skin is densified to the touch. The appearance of the patients is characterized by a painful facial expression and an involuntary tilt of the head to the side.
Diagnosis
With pharyngoscopy, a hyperemic, edematic infiltrate, oval, is defined, slightly protruding against a background of healthy tissue, fluctuating upon palpation.
In laboratory diagnostics, a leukocytosis of 10-15 × 109 / L is usually observed, shifting the formula to the left, the ESR increases to 40-50 mm / h. In addition, puncture the infiltrate with its further microbiological examination and determination of resistance to antibiotics.
Treatment of the disease
All patients with a throat abscess, regardless of location, are subject to emergency admission to a specialized hospital. Before treating the abscess surgically, it is necessary to check the free patency of the airways by the method of direct laryngoscopy( with localization of the inflammation in the laryngopharynx).After this, aspiration of pus is carried out with the help of a thick needle and syringe, with further opening of the abscess and simultaneous drainage.
Antibiotics for abscess are applied immediately after surgical treatment. Assign antibiotics of a wide spectrum of action:
- cephalosporins( cefpyr, ceftazidime),
- fluoroquinolones( levofloxacin, pefloxacin, but children with caution),
- and sulfanilamide preparations.
In addition to antibiotic therapy, detoxification therapy( reamberin), antihistamines( loratadine, tavegil) are prescribed.
Regular gargling( at least 3 times a day) with a weak soda solution with iodine, furacilin or other antiseptics is mandatory. An abundant drink is prescribed, UFO, hyperbaric oxygenation.
With timely diagnostics and properly conducted treatment - favorable. Recovery occurs after 10-14 days.