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Pharyngitis in children

Autor: dr Dragan Zlatanović   


Pharyngitis is usually connected to cold. As an individual entity, in childhood, it is usually a virus that is a causative agent, whereas in school period, streptococcal infection of A group dominates; finally, in adults the causative agents can be various: herpes, mycoplasmal, infectious mononucleosis, streptococcus, candida, etc. It is characterized with the pain in the throat, with or without difficulty in swallowing (dysphagia).

Antibiotics are directed to the streptococcal infection; penicillin drugs are usually used

Erythromycin is a medicine of choice for those who are sensitive to penicillin and for those who might have infectious mononucleosis. With chronic infections of tonsils, clindamycin is applied, because aerobic and anaerobic, which, in 85% of the cases, produce P-lactamase, are isolated. One of the dominant symptoms of pharyngitis is hoarseness. In this case, the larynx is affected, so we can state that this is the acute laryngitis. The symptoms are most expressed when epiglottis is affected.

This state was mostly related to children in the past, but today, it can also be related to adults

Hemophilus influenzae type b and Streptococcus pneumonie bring about the thickness of the epiglottis; this disturbs breathing in children, which later requires intubation, which proved to be better than the previously applied tracheotomy. In adults, the illness is milder and it can be diagnosed as pharyngitis; however, with the half of the ill, intubation is taken into consideration. Observation, with an adequate antibiotic therapy, is obligatory for all the patients with possible epiglottitis. In our country, tuberculous laryngitis is not rare either. It manifests itself in hoarseness, cough and coughing out of the sputum with traces of blood. Irritated cough with grating and pain behind the breastbone during cold or flu indicate that pneumococcus, haemophilus influence and pyogenic staphylococcus brought about the pylogenic complications in the trachea. Besides an adequate antibiotic therapy, antitussives and avoiding the temperature changes usually soothe the illness.

Dragan Zlatanovic, MD

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