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Lacunar tonsillitis

  1. Causes of lacunar angina
  2. The symptoms of lacunar angina
  3. Diagnosis lacunar tonsillitis
  4. The differences between lacunar and follicular tonsillitis
  5. Treatment of lacunar angina
  6. Lacunar tonsillitis in children
  7. Complications of lacunar angina
  8. Prevention of lacunar angina

    The surface of the tonsils riddled with cavities called lacunae. They have wide ramifications in the body lymphoid tissue. Lacunar angina or lacunar tonsillitis is an acute inflammatory process that develops in the gaps.

    This disease often happens in children and adolescents, at the same time in adults it usually develops as an exacerbation of a smoldering infection. After 50 years the possibility of developing lacunar angina is reduced. This disease is diagnosed year-round, but the maximum number of cases falls on the interval from October to January. The symptoms and treatment of lacunar tonsillitis in adults and children may have some differences.

    Causes of lacunar angina

    Infection can occur alimentary with food, inhalation of air and the result of household contact. The primary cause for angina staphylococci, streptococci, fungi, viruses. Secondary lacunar tonsillitis in adults and children may develop as a result of tuberculosis, scarlet fever or other infection, if this is the cause of pathological processes, covering the area of the tonsils along with the surrounding tissue. Among the predisposing factors for the development of the disease, should be allocated

    • periodontal disease and caries
    • inflammation of the mouth and nasopharynx
    • hypothermia
    • adverse environmental conditions
    • tired all the time.

    Causes of lacunar angina chronic nature is constant irritation of mucous membranes of tobacco smoke, frequent alcohol consumption, and mouth breathing (this phenomenon develops, for example, when sinusitis). In children, the disease becomes chronic with ineffective treatment of acute process.

    The symptoms of lacunar angina

    The pathogenesis of this disease is characterized by rapid development. The full disease symptoms manifest during the day. The temperature can rise to febrile values, that is to 38-39 degrees, or until piratescove level (39-41 degrees). Lacunar tonsillitis without fever very rare.

    In this disease like lacunar tonsillitis, the symptoms may be nonspecific, including weakness, headaches, insomnia, lack of appetite, fatigue. Possible pain not only in the throat when swallowing, but also in the jaw joints and muscles.

    In spite of the pronounced pallor of nasolabial triangle marked redness of the cheeks. Possible lymphadenitis, is an inflammation of the lymph nodes in the jaw area and neck, and tachycardia (heart rate exceeding normal).

    Diagnosis lacunar tonsillitis

    To identify the disease, the otolaryngologist examines the oral cavity. Lacunar tonsillitis is diagnosed when an pharyngoscope, the doctor noted inflammation of the tonsils, purulent plaque, hyperthermia soft NBA, the accumulation of pus in the gaps.

    Bacteriological studies reveal the presence of different microorganisms. This is usually Staphylococcus aureus, hemolytic Staphylococcus aureus and beta hemolytic Streptococcus group A. as for viruses, when lacunar angina most often detected adenoviruses, cytomegalovirus and the herpes virus.

    The differences between lacunar and follicular tonsillitis

    If follicular tonsillitis, on the surface of the tonsils are whitish-yellow plaque or festering bubbles. At the opening of the follicle in economincally fiber is the risk of peritonsillar abscess.

    Lacunar tonsillitis is characterized by a light yellow tinge in the mouths of the gaps. It consists of leukocytes and tore particles of epithelium. Often the drain is formed patina which covers the tonsils, but beyond their surface does not come out. It can be easily removed, the open surface as a result of this remains.

    These differences between lacunar and follicular tonsillitis is characterized by very similar symptoms. The duration in most cases is the same. On average, follicular tonsillitis lasts as long as lacunar and from 5 to 7 days.

    Treatment of lacunar angina

    The need for hospitalization is determined on the basis of data on the severity of the pathogenesis. In the treatment at home you need to stay in bed, limit contact, drink plenty of fluids and eat warm mashed food. In the absence of effect of conservative treatment and difficulty breathing may require surgical removal of the tonsils.

    In this disease like lacunar angina, need to not only treat the symptoms, but also to pay attention to appropriate nutrition. From the diet of a sick person should exclude fresh milk. Otherwise, lactic bacteria, lingering on the mucous membrane, contribute to the proliferation of pathogenic organisms. In extreme cases, after drinking the milk takes a few times to rinse the throat. Drink is best consumed warm mineral water containing no gas, weakly brewed tea, perhaps with honey.

    In the case of microbic etiology of the disease antibiotic therapy. When a disease like lacunar tonsillitis treatment in adults are more commonly done with antibiotics, and rarely assigned to sulfa means. Proper selection of medications will provide

    • the destruction of the pathogen
    • warning of side effects with concomitant pathologies
    • the balance between the efficacy and safety of drugs.

    ENT-infections medication first choice of antibiotics are-penicillins. Also often prescribed cephalosporins, macrolides, fluoroquinolones.

    At high temperature it is necessary to treat lacunar angina, using antipyretics such as paracetamol or Nurofen. Of antihistamines that reduce the swelling of the tonsils, usually assigned or tsetrin suprastin.

    Local treatment consists in the use of gargles, throat lubrication Lugol solution, the use of inhalers and tablets for sucking. When the temperature returns to normal, you can use vodka compresses in the neck.

    In this disease like lacunar tonsillitis, a specialist must evaluate the symptoms and prescribe an appropriate treatment. Taking any medications without consulting with a specialist is unacceptable.


    To cure the disease is possible by aspiration of pus. This is done by using the apparatus of Tonsillar.

    If no effect, may be assigned Economia. The resection of the surrounding tonsil tissue is abdominal method, or a laser. As a result of purulent content out, and tissue when healing, do not allow pus to accumulate in the gaps again.

    Tonsillectomy surgery involving the removal of tonsils. This is an extreme measure, which is going to help the patient when other methods fail.

    Traditional methods of treatment of lacunar angina

    Traditional medicines with proper use bring the time of recovery. To reduce swelling of the tonsils and to remove throat mucous plaque will help decoctions of calendula, sage and chamomile. They have a slight antiseptic and soothing effect.

    Since when lacunar tonsillitis need plenty of warm drink, it is possible for this purpose to use the flowers of the Linden or yarrow. The therapeutic effect will increase if in the drink, add 2-3 teaspoons of honey. You can replace it with raspberry jam, it will facilitate the disease and strengthen the immune system.

    Lemon in drinks when lacunar angina better not to add. The fact that it contains acid, that is, it may cause irritation. This creates an environment conducive to bacteria.

    For lubrication of the tonsils is a mixture of aloe, Kalanchoe and honey. A bandage dipped in this mixture, is wound on a teaspoon, and then she carefully smeared the gaps.

    Lacunar tonsillitis in children

    If treatment is delayed or inadequate, lacunar tonsillitis in children can cause abdominal pain, nausea, pain during swallowing radiating to the ear, upset stomach, asphyxiation, convulsions, conjunctivitis. To keep the condition may be about three days.

    Lacunar tonsillitis for children is dangerous because it can provoke the occurrence of false croup. The cause of the phenomenon becomes swelling of the tonsils, where the Airways overlap. The child gasps, his skin turning blue.

    Incorrect treatment with antibiotics lacunar tonsillitis in children can lead to disability or death. Any medication is prescribed based on the age and weight of the child.

    Complications of lacunar angina

    In severe lacunar tonsillitis in children and adults can provoke a different sort of complications. The most common early complications

    • laryngitis
    • sepsis or meningitis if you get an infection in the blood
    • involvement of the mediastinum in the inflammatory process.

    Among the possible late complications myocarditis, pericarditis, pancardi, acute rheumatic fever, pyelonephritis, hemorrhagic vasculitis. You can prevent them with timely treatment for medical help.

    Prevention of lacunar angina

    Vaccination to prevent the disease not. Preventive measures are nonspecific and include

    • sanitation foci of infection
    • treatment of diseases that cause obstruction of nasal breathing
    • strengthening the immune system
    • the use of medical masks in case someone in the family was sick.

    Avoid frozen and chilled food. It is also desirable to observe sufficient physical activity, for example, to accustom themselves to the daily morning jog.