Paratonsillitis is an acute inflammation of the paratonsillar tissue as a result of the spread of the inflammatory process from the palatine tonsils with angina. It is characterized by the presence of inflammatory infiltration of paratonsillar tissues. It can be one- or two-sided.
The reasons for the development of paratonsillitis are a decrease in immunity and inadequate treatment of angina.
Exacerbation of the condition after suffering a sore throat:
- pain when swallowing;
- irradiation of pain in the ear and teeth;
- spasm of chewing muscles;
- slurred speech;
- inflammation of the muscles of the pharynx, neck and cervical lymphadenitis;
- headache, febrile temperature;
- hematological changes of an inflammatory nature.
Diagnosis due to pronounced and pathognomic symptoms is not difficult.
Apply local heat and rinse the oropharynx with disinfectant solutions. Intramuscular injections of penicillin at an average dose of 1500000-2500000 IU / day, depending on the age and body weight of the patient, as well as the introduction of penicillin directly into the inflamed paratonsillar tissue at 250000-500000 IU.
If patients are intolerant to penicillin, macrolide antibiotics can be prescribed: oleandomycin, erythromycin, etc. They use antipyretic and analgesic drugs, and conduct general hyposensitizing therapy.
With long-term non-resolving paratonsillar infiltrations, patients are hospitalized in the otorhinolaryngological department, where they undergo a tonsillectomy.