Agents angina considered to be pathogens – Staphylococcus, pneumococcus, enteroviruses, Streptococcus. The same pathogens are bacteria of hemolytic Streptococcus group A, adenoviruses 1 and 9 type, the herpes virus. All these microorganisms can enter the body in three ways. From the outside, i.e. by droplets from dairy and other food products, after serious operations in the nasopharynx and the posterior portions of the nasal cavity. The body itself can give you a sore throat without other factors. That is, endogenous. For example, because of pathologic processes gastroenteritis, purulent sinusitis or dental caries or chronic tonsillitis, when you activate the microflora of the tonsils. There is also a chance of disease angina hematogenous through the blood.
Causes of sore throat are different, this external influence, and disturbed biocenosis. The causes of the disease a sore throat following General and local hypothermia, a sharp increase or decrease in temperature, excessive dampness, severe General fatigue, infection infection, low amount of sunlight, poor nutrition.
Sore throat sometimes occurs in the following scenario the above reasons change the ecological community, it is the totality of microorganisms in the pharynx and mouth so that the native habitat of the lacunae of tonsils becomes the threat that accompanies the infection, causing infection of the tonsils with inflammation.
Klassificeret angina according to the degree of infection of the tonsils and the nature of the infection. There are following forms of angina
- Catarrhal angina is an easy form of angina, in this case, the greater part of the inflamed mucous membrane of the tonsils
- Lacunar inflammation was concentrated in the gaps of the tonsils
- Follicular sore throat, also called acute tonsillitis. In this case, zagnoenie follicles of the tonsils. There are also combination forms.
Catarrhal angina is a form of tonsillitis has an acute onset. Observed low-grade fever that sometimes rises to 38 degrees.
In patients with catarrhal angina marked headache, fever, increase of cervical lymph nodes, as well as their soreness, pain in the throat, the tongue with a touch. The disease is from 3 to 5 days.
There are cases when, together with catarrhal angina develops follicular or lacunar tonsillitis.
Lacunar tonsillitis. In the gaps collect the fluid, resulting in inflammation, which is called a fibrinous exudate. The mucous membrane of the tonsils and gladiateur and blush in the gaps of the tonsils appear whitish plaque, which sometimes merges, but leaves the tonsils and can be easily removed.
Follicular sore throat. The mucous membrane of the tonsils inflamed, it appears multiple yellowish-white inclusion is festered follicles, which gradually increase. Because of their increase they may appear in the pharynx with pus.
Disease follicular and lacunar angina is much heavier than the catarrhal.
Over time, the symptoms of poisoning of the organism, accompanied by fever, chills, severe headache, General fatigue, sharp pain when swallowing, often this type of angina can also cause pain in the ears. Patients there is a need for frequent swallowing, the voice becomes nasal. Cervical lymph nodes are increased and ache at the feeling.
For follicular and lacunar angina occurs very rapidly, usually the duration of these sore throats have up to 10 days, but can be very lengthy and can become a chronic sore throat.
Fibrinous angina is characterized by a uniform continuous coating of yellowish-whitish color, which can sometimes grow beyond the tonsils. This kind of acute tonsillitis can result from lacunar tonsillitis, or proceed on their own having a continuous film in the first hours of the disease. The last case is characterized by acute onset with high fever and chills, severe manifestations of General poisoning of the body and sometimes can affect the brain.
Intratonsillar abscess, also called phlegmonous angina, occurs quite rarely. The cause of quinsy is a purulent fusion of the area of the tonsils. The amygdala is increased, hyperammonaemia, its surface is strained, and on palpation the patient feels a strong, sharp pain. The symptoms of quinsy are not much different from any other. Pain in the throat when swallowing, talking headache and fever. A distinctive feature of this type of angina is that the characteristic lockjaw masticatory muscles, the uvula and tonsils are displaced to the healthy side, causing an asymmetric throat, and mobility of the soft palate is limited.
The most dangerous type of angina is considered ulcero-membranous angina. The cause of this disease think the symbiosis of spirochetes and fusiform Bacillus the mouth, which are usually found in the mouth of a healthy person. The characteristic necrosis zemnoy surface to form ulcers on the tonsil. When ingested, the person feels a foreign body, excessive salivation, putrid breath. The duration varies from 1 week to several months.
Herpangina is most often in childhood. The causative agent of a sore throat is the Coxsackie virus A. the disease is characterized by contagiousness. The cause of the sore throat may be a virus, trapped in the body by faecal-oral contact or airborne droplets. The disease is acute there is fever, the temperature rises to 38-41 degrees, there are muscular pains in the stomach and the abdomen, sometimes vomiting and diarrhea. Are reddish bubbles in the region of the uvula, the arches, the tonsils. The bubbles burst and disappear in 3-4 days.
Combination of angina. The patient can simultaneously manifest in different forms of sore throat with different symptoms. For example, one tonsil may develop follicular tonsillitis, on the other – lacunar.
Causes of sore throat are different, each type of angina dangerous in their own way, it is not necessary to start the treatment of angina, hoping for self-healing, because the disease can develop into chronic and lead to more serious consequences.