Pharyngitis history and symptoms: Difference between revisions
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== Overview == | == Overview == | ||
Pharyngitis is a very common inflammatory condition of the pharynx accompanied by a sore throat and occasionally difficulty in swallowing.<ref>{{cite book | last = Cohen | first = J | title = Infectious diseases | publisher = Mosby/Elsevier | location = Edinburgh | year = 2010 | isbn = 978-0323045797 }}</ref> When a patient presents with sore throat, the physician must consider a wide range of illnesses. | Pharyngitis is a very common inflammatory condition of the pharynx accompanied by a sore throat and occasionally difficulty in swallowing.<ref>{{cite book | last = Cohen | first = J | title = Infectious diseases | publisher = Mosby/Elsevier | location = Edinburgh | year = 2010 | isbn = 978-0323045797 }}</ref> When a patient presents with sore throat, the physician must consider a wide range of illnesses. Infectious causes range from generally benign viruses to [[Group A streptococcal infection|Group A streptococccus]]. The signs and symptoms of GAS and nonstreptococcal pharyngitis overlap so broadly that accurate diagnosis on the basis of clinical grounds alone is usually impossible.<ref name="pmid23091044">Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al. (2012) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=23091044 Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America.] ''Clin Infect Dis'' 55 (10):1279-82. [http://dx.doi.org/10.1093/cid/cis847 DOI:10.1093/cid/cis847] PMID: [https://pubmed.gov/23091044 23091044]</ref> Inflammatory presentations may be the result of allergy, reflux disease or, rarely, neoplasm or Kawasaki disease. The optimal approach for differentiating among various causes of pharyngitis requires a problem focused history, a physical examination, and appropriate laboratory testing.<ref name="pmid15053411">Vincent MT, Celestin N, Hussain AN (2004) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15053411 Pharyngitis.] ''Am Fam Physician'' 69 (6):1465-70. PMID: [https://pubmed.gov/15053411 15053411]</ref> | ||
==Common Symptoms== | ==Common Symptoms== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pharyngitis is a very common inflammatory condition of the pharynx accompanied by a sore throat and occasionally difficulty in swallowing.[1] When a patient presents with sore throat, the physician must consider a wide range of illnesses. Infectious causes range from generally benign viruses to Group A streptococccus. The signs and symptoms of GAS and nonstreptococcal pharyngitis overlap so broadly that accurate diagnosis on the basis of clinical grounds alone is usually impossible.[2] Inflammatory presentations may be the result of allergy, reflux disease or, rarely, neoplasm or Kawasaki disease. The optimal approach for differentiating among various causes of pharyngitis requires a problem focused history, a physical examination, and appropriate laboratory testing.[3]
Common Symptoms
The main symptom is a sore throat. Other symptoms may include:
Viral Pharyngitis[3]
- Coryza
- Conjunctivitis
- Malaise or fatigue
- Hoarseness
- Lowgrade fever
Bacterial Pharyngitis
Patients with bacterial pharyngitis generally do not have rhinorrhea, cough, or conjunctivitis.[3]
- Sudden onset of sore throat
- Pain on swallowing
- Fever
- Headache
- Abdominal pain
- Nausea and vomiting
References
- ↑ Cohen, J (2010). Infectious diseases. Edinburgh: Mosby/Elsevier. ISBN 978-0323045797.
- ↑ Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al. (2012) Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis 55 (10):1279-82. DOI:10.1093/cid/cis847 PMID: 23091044
- ↑ 3.0 3.1 3.2 Vincent MT, Celestin N, Hussain AN (2004) Pharyngitis. Am Fam Physician 69 (6):1465-70. PMID: 15053411