Adenotonsillitis
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adenotonsillitis AND treatment
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CDC group A strep pharyngitis clinical guidance tonsillitis
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https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/stre…
Adenotonsillitis is acute inflammation or infection of both the palatine tonsils and adenoids. It is common in children.
- Causes: Usually viral. Bacterial infection, especially group A Streptococcus, can cause prominent sore throat and tonsillar exudate.
- Typical features: Sore throat, painful swallowing, fever, red swollen tonsils with or without white patches, tender neck nodes, nasal blockage or discharge, mouth breathing, snoring, and sometimes ear symptoms. Acute adenoiditis particularly causes purulent nasal discharge, obstruction, fever, and may accompany otitis media.
- Assessment: Clinicians should consider a rapid strep test or throat culture when strep is suspected. In children older than 3 years, a negative rapid test is generally backed up by culture. A positive test supports antibiotic treatment, but viral pharyngitis should not be treated with antibiotics, according to CDC strep guidance.
- Treatment: Fluids, rest, paracetamol/acetaminophen or ibuprofen if suitable, and treatment directed by the cause. Confirmed group A strep is usually treated with penicillin or amoxicillin, unless an allergy or other individual factor changes the choice.
- Complications: Peritonsillar abscess, cervical infection, otitis media, and, after untreated streptococcal disease, rare immune complications such as acute rheumatic fever or post-streptococcal glomerulonephritis.
Seek urgent assessment for breathing difficulty, drooling or inability to swallow liquids, dehydration, severe one-sided throat swelling, muffled voice, neck stiffness/swelling, or marked drowsiness.
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