Presentation
Here, we present a case of a young man suffering from severe viral oesophagitis, who developed Crohn's disease several months later. [ncbi.nlm.nih.gov]
However, the bacteria can still be present with little or no fever. [clinicaladvisor.com]
The Orthomyxoviridae family which cause influenza are present with rapid onset high temperature, headache, and generalized ache. A sore throat may be associated. Infectious mononucleosis ("glandular fever") is caused by the Epstein–Barr virus. [en.wikipedia.org]
Entire Body System
- Fever
High fever Colds sometimes cause a fever, but it these are generally low grade in nature. High-grade fevers over 101 degrees Fahrenheit raise the likelihood that strep is causing a sore throat. [clinicaladvisor.com]
Acute retroviral syndrome due to HIV may be associated with fever and non-exudative pharyngitis. [ncbi.nlm.nih.gov]
A sore throat may be the first symptom of usually mild illnesses such as a cold or the flu or of more severe illnesses such as mononucleosis or scarlet fever. A sore throat that comes on suddenly is called acute pharyngitis. [wsupgdocs.org]
Infectious mononucleosis ("glandular fever") is caused by the Epstein–Barr virus. This may cause significant lymph-node swelling and an exudative tonsillitis with marked redness and swelling of the throat. [en.wikipedia.org]
- Inflammation
Furthermore, erosive inflammation of the oesophagus, stomach, or duodenum occurs in up to 43% of patients with this disease [ 20 ]. [ncbi.nlm.nih.gov]
Nouri, E, Monti, T: Nimesulide granules for the treatment of acute inflammation of the ear, nose or throat. Drugs 1993 ; 46 ( Suppl 1 ): 103 – 106 Google Scholar | Crossref | Medline 7. [journals.sagepub.com]
". [9] [10] Classification [ edit ] Pharyngitis is a type of inflammation caused by an upper respiratory tract infection. [en.wikipedia.org]
Sore throat is caused by inflammation of the throat (pharynx). The pharynx is the area behind the tonsils. [wsupgdocs.org]
- Pain
A nonprescription pain reliever such as aspirin, acetaminophen, or ibuprofen may ease general aches and pains. [wsupgdocs.org]
Clemett, D, Goa, KL: Celecoxib: a review of its use in osteoarthritis, rheumatoid arthritis and acute pain. Drugs 2000 ; 59: 957 – 980 Google Scholar | Crossref | Medline | ISI 16. [journals.sagepub.com]
Case report A 22-year-old student was admitted to our department because of intense sore throat, disturbances of solid food swallowing, epigastric pain, and high fever up to 40°C lasting for 2 days. [ncbi.nlm.nih.gov]
Medications [ edit ] Pain medication, such as NSAIDs and acetaminophen (paracetamol), can help reduce the pain associated with a sore throat. [en.wikipedia.org]
- Streptococcal Pharyngitis
Slideshow Strep Throat Although streptococcal pharyngitis cannot be accurately diagnosed by symptoms or a physical exam alone, there are certain clues that can help you determine if a sore throat is bacterial in nature. [clinicaladvisor.com]
Viral features and testing for streptococcal pharyngitis. Pediatrics. 2017;139(5):e20163403. [PubMed] [Google Scholar] 18. McIsaac WJ, Kellner JD, Aufricht P. [ncbi.nlm.nih.gov]
"Re-evaluation of antibiotic treatment of streptococcal pharyngitis". Curr. Opin. Pediatr. 22 (1): 77–82. doi : 10.1097/MOP.0b013e32833502e7. PMID 19996970. ^ a b c Choby BA (March 2009). "Diagnosis and treatment of streptococcal pharyngitis". [en.wikipedia.org]
- Infectious Mononucleosis
Infectious mononucleosis testing at the point-of-care. Point Care. 2009;8(1):29–31. [Google Scholar] 32. Womack J, Jimenez M. Common questions about infectious mononucleosis. Am Fam Physician. 2015;91(6):372–6. [PubMed] [Google Scholar] 33. [ncbi.nlm.nih.gov]
Infectious mononucleosis ("glandular fever") is caused by the Epstein–Barr virus. This may cause significant lymph-node swelling and an exudative tonsillitis with marked redness and swelling of the throat. [en.wikipedia.org]
Respiratoric
- Sore Throat
Slideshow Strep Throat Although streptococcal pharyngitis cannot be accurately diagnosed by symptoms or a physical exam alone, there are certain clues that can help you determine if a sore throat is bacterial in nature. [clinicaladvisor.com]
Home >> Family Medicine >> Adult Health: Colds & Flu: Sore Throat What is a sore throat? Sore throat is a common symptom that ranges in severity from just a sense of scratchiness to severe pain. Pharyngitis is the medical term for sore throat. [wsupgdocs.org]
Pharyngitis Other names Acute sore throat Viral pharyngitis resulting in visible redness. [en.wikipedia.org]
Corticosteroids for treatment of sore throat: systematic review and metaanalysis of randomised trials. BMJ. 2017;358:j3887. [Article PMC gratuit] [PubMed] [Google Scholar] 2. ESCMID Sore Throat Guideline Group. [ncbi.nlm.nih.gov]
- Pharyngitis
It is important that clinicians differentiate between bacterial and viral forms of pharyngitis. [clinicaladvisor.com]
Older data suggest 1 in 400 untreated cases of strep pharyngitis. [ncbi.nlm.nih.gov]
Pharyngitis Other names Acute sore throat Viral pharyngitis resulting in visible redness. [en.wikipedia.org]
Gastrointestinal
- Dysphagia
Clinically severe disease, dysphagia, or ineffective peroral treatment indicates the need to use intravenous therapy (ganciclovir, foscarnet, cidofovir) lasting not less than 10 days [ 2, 6, 10, 11 ]. [ncbi.nlm.nih.gov]
Neurologic
- Irritability
[…] upper respiratory tract infection. [5] Most cases are caused by a viral infection. [2] Strep throat, a bacterial infection, is the cause in about 25% of children and 10% of adults. [2] Uncommon causes include other bacteria such as gonorrhea, fungus, irritants [en.wikipedia.org]
Certain viruses like rhinovirus can cause irritation secondary to nasal secretions. In almost all cases, there is a local invasion of the pharyngeal mucosa which also results in excess secretion and edema. [ncbi.nlm.nih.gov]
Treatment
In conclusion, 5 days of treatment with celecoxib 200 mg once daily is as effective as diclofenac 75 mg twice daily in the symptomatic treatment of viral pharyngitis. [journals.sagepub.com]
If the test is positive, treatment should be initiated. If it is negative, particularly in children, a throat culture should be obtained and should guide treatment. [ncbi.nlm.nih.gov]
"Re-evaluation of antibiotic treatment of streptococcal pharyngitis". Curr. Opin. Pediatr. 22 (1): 77–82. doi : 10.1097/MOP.0b013e32833502e7. PMID 19996970. ^ a b c Choby BA (March 2009). "Diagnosis and treatment of streptococcal pharyngitis". [en.wikipedia.org]
Prognosis
Differential Diagnosis Airway obstruction from any cause Allergic rhinitis Cancer of the head and neck Gastroesophageal reflux disease Peritonsillar abscess Diphtheria Epiglottitis Herpes simplex virus Mononucleosis Prognosis In developing countries, [ncbi.nlm.nih.gov]
Etiology
If viral in etiology, associated symptoms often include coughing, rhinorrhea, conjunctivitis, headache, and a rash. [ncbi.nlm.nih.gov]
Epidemiology
Fries, JF : NSAID gastropathy: epidemiology. J Musculoskel Med 1991 ; 8: 21 – 28 Google Scholar 9. Roth, SH : NSAID gastropathy. Arch Intern Med 1996 ; 156: 1623 – 1628 Google Scholar | Crossref | Medline 10. [journals.sagepub.com]
Epidemiology of esophageal and supraesophageal reflux injuries. Am J Med. 2000; 108 :99–103. [ PubMed ] [ Google Scholar ] 2. Thor PJ. Oesophagus diseases. In: Konturek SJ, editor. [ncbi.nlm.nih.gov]
Alternative [ edit ] Gargling salt water is often suggested, but evidence of its usefulness is lacking. [3] Alternative medicines are promoted and used for the treatment of sore throats. [32] However, they are poorly supported by evidence. [32] Epidemiology [en.wikipedia.org]
Pathophysiology
Globally, pharyngitis rates are very high chiefly in countries where antibiotics are overprescribed. [5] [6] Pathophysiology Bacteria and viruses can cause direct invasion of the pharyngeal mucosa. [ncbi.nlm.nih.gov]
Prevention
How can I prevent a sore throat? The following suggestions may help prevent a sore throat: Don't share eating and drinking utensils with others. Wash your hands often. Don't let your nose or mouth touch public telephones or drinking fountains. [wsupgdocs.org]
Hand washing and maintenance of good personal hygiene is important to prevent spread to others in the home. To prevent recurrence, immunization should be recommended against the flu virus and diphtheria. [ncbi.nlm.nih.gov]
Antibiotics are useful to both prevent complications (such as rheumatic fever ) and speed recovery. [17] Fusobacterium necrophorum Fusobacterium necrophorum is a normal inhabitant of the oropharyngeal flora and can occasionally create a peritonsillar [en.wikipedia.org]