Clinical Features and Management of Pharyngotonsillitis

Introduction

Pharyngotonsillitis, commonly known as sore throat, is an inflammatory condition affecting the pharynx and tonsils. It can be caused by bacterial or viral pathogens, leading to a range of clinical manifestations.

Clinical Features

Common Symptoms

• Fever
• Throat pain and discomfort
• Dysphagia (difficulty swallowing)
• Tonsillar exudates
• Enlarged cervical lymph nodes

Differential Diagnosis

It is essential to differentiate pharyngotonsillitis from conditions with similar presentations:

• Viral pharyngitis (e.g., Epstein-Barr virus, adenovirus)
• Streptococcal pharyngitis
• Mononucleosis
• Diphtheria
• Peritonsillar abscess

Management

Antibiotic Therapy

Bacterial pharyngotonsillitis, especially caused by *Streptococcus pyogenes*, requires antibiotic treatment:

• Penicillin V (first-line treatment)
• Amoxicillin
• Macrolides (for penicillin allergy)

Supportive Care

• Hydration and rest
• Analgesics (acetaminophen, ibuprofen)
• Salt water gargles
• Throat lozenges

Conclusion

Pharyngotonsillitis is a prevalent ENT condition that requires appropriate diagnosis and management. Differentiation from similar diseases ensures effective treatment and prevents complications.