Purulent tonsillitis in adults - symptoms and treatment, photo

Angina can rightly be called one of the fairly common diseases affecting adults. The causative agents of this infectious disease are staphylococci, streptococci, pneumococci and adenoviruses, the main “blow” of which always falls on the tonsils.

Depending on the specificity of the tissue damage, the sore throat is subdivided into catarrhal, necrotic, purulent, herpetic.

Each of these varieties has similar symptoms, but differs in some features, including methods of treatment. The peaks of angina usually occur in autumn and spring - seasons characterized by high humidity.


According to the classification there is no such thing as purulent tonsillitis. Tonsillitis (tonsillitis) according to the classification of I. I. Soldatenk is divided into:

  1. Acute tonsillitis (this includes catarrhal, lacunar, follicular, ulcerative-necrotic angina).
  2. Chronic tonsillitis (there are two forms, a compressed and decompensated form of chronic tonsillitis).

Purulent tonsillitis primarily implies acute tonsillitis (lacunar or follicular form). This is due to the fact that when inspecting the tonsils, on their surface one can see purulent films, as well as liquid pus in the lacunae of the tonsils.

What are the different types of purulent tonsillitis from each other?

There are 3 forms of this disease:

  1. Follicular The mildest form of purulent tonsillitis is when accumulations of pus are translucent through the epithelium in the form of small dots. Typically, follicular tonsillitis rarely occurs without fever.
  2. Lacunar In this case, the lacunae are filled with pus, so a peculiar pattern of light stripes, not points, is formed on the tonsils.
  3. Phlegmonous. It is one of the most severe forms of the disease, as here purulent fusion of the amygdala itself occurs, which requires inpatient treatment.

How to treat a purulent tonsillitis in an adult will directly depend on the symptoms and the form of the disease.


In the overwhelming majority of cases, purulent tonsillitis is an infectious disease caused by β-hemolytic streptococcus group A. This pathogen is found in approximately 60-80% of cases of purulent tonsillitis. Most experts still tend to attribute angina to streptococcal infectious diseases. However, the possibility of a purulent tonsillitis of staphylococcal and pneumococcal origin is not excluded. There are also descriptions of angina listerellae etiology.

The source of infection is a sore throat or healthy people carrying streptococci. Is purulent tonsillitis contagious? Of course, yes, if you do not adhere to the rules of hygiene and do not wear a protective bandage when in contact with the patient.

In the special depressions of the tonsils (lacunae) there are always microbes. With normal immunity, they do not cause disease. However, there are a number of factors that cause the start of the infection process:

  1. Hypothermia, sudden changes in temperature, cold drinks and food.
  2. Mechanical damage to the tonsils with further infection.
  3. Avitaminosis, the presence of associated inflammatory diseases of nearby structures.
  4. The transfer of streptococcal infection throughout the body.
  5. Immunodeficiency diseases, provoking a decrease in immunity.
  6. Swallowing a fungal or bacterial infection in the mouth.

In these cases, the defenses of the entire body are reduced and, above all, it occurs in the tonsils. When the process is started, the pathogenic microflora penetrates deep into the tonsils, causing their acute inflammation - sore throat. How to treat this ailment and whether antibiotics are needed for this, we will consider a little lower.

Symptoms of purulent tonsillitis

In the case of purulent tonsillitis, the symptoms in adults may have varying degrees of severity, depending on the form and neglect of the infectious process. Also, a sore throat is able to proceed without a significant rise in temperature. In this case, the main and defining signs are pain in the throat, changes in the appearance of the tonsils: redness, swelling of the mucous membranes, pustules and plaque on the tonsils.

However, most often purulent tonsillitis in adults is characterized by the following symptoms (see photo):

  • acute onset of the disease: fever up to 40 ° C and even higher;
  • fever;
  • severe intoxication (headache, lack of appetite, severe weakness);
  • acute sore throat, most strongly felt when swallowing food and saliva;
  • soreness and inflammation of the submandibular lymph nodes;
  • swelling and redness of the tonsils, posterior pharyngeal wall and small tongue;
  • swelling of the neck;
  • skin rashes;
  • pain in the abdomen;
  • the presence of purulent foci, raids on the tonsils, which are easily removed with a medical spatula, without damaging the mucous membrane.

The incubation period of purulent tonsillitis can be from 2 to 5 days. Symptoms of the disease appear fairly quickly, and one of the first signs, as a rule, is chills, followed by intense fever. A characteristic feature is the fact that the pain in the throat gradually increases, starting to disturb from a simple feeling of discomfort to severe pain associated with or not associated with swallowing.

The treatment of the purulent form of the disease is amenable to the rule common to all ailments: the sooner it is started, the sooner recovery will come and the less complication will be. That is why, in order to quickly cure a purulent quinsy, measures should be taken when the first signs of it appear.

Purulent tonsillitis photo

What looks purulent tonsillitis, we offer to view detailed photos.

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Purulent tonsillitis is dangerous for its complications, which can be both late and early.

Early include:

  • sinusitis;
  • otitis;
  • laryngitis;
  • purulent lymphadenitis;
  • soft tissue abscesses.

Later may develop:

  • meningitis;
  • rheumatism;
  • glomerulonephritis;
  • polyarthritis;
  • pyelonephritis.

The prognosis for timely and high-quality treatment of the disease is favorable.

Treatment of purulent tonsillitis

In case of purulent tonsillitis, it is extremely important to start treatment in a timely manner in order to avoid possible complications in the form of phlegmon and abscesses in the neck, pathologies of the cardiovascular system, diseases of the kidneys and joints.

Approximate treatment of angina in adults is as follows:

  1. In the acute period of the disease, the patient is shown bed rest with limited contact with others and observance of voice rest.
  2. Treatment rarely goes without antibiotics. Adults are prescribed antibacterial drugs of the penicillin group: amoxicillin, first, second or third generation cephalosporins (cefadroxyl, cefalexin, cefuroxime, cefixime), amoxiclav, and macrolides (clarithromycin, azithromycin).
  3. Appointment of a local antibiotic Bioparox with purulent tonsillitis is no less important than conducting systemic antibiotic therapy. This drug acts directly on the focus of inflammation, killing bacteria immediately, locally.
  4. In case of high temperature or severe pain to relieve the patient's condition, the use of painkillers containing ibuprofen and paracetamol is recommended.
  5. You can gently gargle with solutions of aqueous antiseptics in the form of liquids or special sprays (lugol, chlorhexidine, ingalipt, hlorofillipt, trachisan, yoks, orasept, horlospas, and resorption tablets).
  6. Antihistamines. Their use will reduce edema and sore throat, as well as reduce the overall toxic manifestations. The most common are claritin, tavegil, Erius, mefenamic acid, paracetamol, nurofen.
  7. Food should be varied, rich in vitamins, but the main rule is the absence of irritating factors. All dishes are served warm, pureed, semi-liquid, without spices and hot sauces.
  8. Showing abundant warm drink.

Remember that if you start a sore throat, you can get very serious complications.

How to gargle?

Patients are recommended to gargle with special antiseptic solutions. For these purposes, a suitable solution furatsilina, givalex. The procedure should be carried out up to 5-6 times a day for several minutes. You can also use sprays of identical composition: hexoral, ingalipt, tantum verde.

A couple of folk ways:

  1. Infusion of chamomile, calendula flowers, eucalyptus is a miracle cure for gargling. Take 1 tbsp. l collection of 1 tbsp. boiling water. The resulting mixture should be infused, cool and rinse with purulent tonsillitis.
  2. In a glass of warm water, add one teaspoon of salt, one baking soda and 5 drops of iodine, mix thoroughly until the ingredients are completely dissolved.
  3. Another equally valuable infusion of chamomile, St. John's wort, calendula has been used for a long time. Need to take 1 tbsp. collection on 1 cup of boiling water. Then insist, cool and rinse.

Gargling can help relieve sore throat.


Most often, experts prescribe penicillin medication. They are perfectly absorbed in the body, have pronounced bacteriostatic and bactericidal characteristics.

Patients are prescribed semi-synthetic antibiotic Amoxicillin, an antibiotic from the cephalosporins group Cefalexin, may be prescribed Sumamed, Cephazamine, or drugs from the group of macrolides. Clindamycin, Phenoxymethylpenicillin, Erythromycin are also used for treatment.

Only a doctor should choose a suitable drug, prescribe the dosage and the duration of the reception. It is important to complete a course of antibiotic treatment to the end, even if the symptoms of the disease have significantly decreased.

How to treat purulent quinsy at home

With established streptococcal infection of the tonsils, treatment of purulent tonsillitis in the home should necessarily include antibiotic therapy. The drug and its dose prescribed by a doctor.

Folk remedies:

  1. Natural propolis should be absorbed or chewed after each meal and rinse. Eat no more than one teaspoon of propolis daily, dissolving each portion of it for 20-30 minutes.
  2. Broths of chamomile, calendula. They soothe the mucosa, relieving irritation, itching, discomfort in the throat. They are ranked as folk remedies, but these plants are widely used and official medicine. Rinsing them with decoctions promotes the discharge of pus, which improves the patient's condition, reduces the severity of symptoms of angina.
  3. Salt, soda solutions. Used for rinsing, inhalation, compresses. They act warming up, create an unfavorable environment for pathogenic microorganisms, remove sputum from the walls of the pharyngeal mucosa.
  4. Furacilin. Used in the form of a solution for rinsing, irrigation throat. Active against the most common pathogens of angina bacterial nature.

Folk recipes can only be used to relieve symptoms; they cannot cure a sore throat.


Specific prevention of acute tonsillitis does not exist.

To prevent a disease, one should pay maximum attention to one's own health: eat rationally, fully relax, and lead an active lifestyle. Important timely diagnosis and rehabilitation of foci of chronic infection in the body, as well as hardening.

Watch the video: Real Questions. Tonsil Cancer. UCLA Head and Neck Surgery (February 2020).


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