Follicular sore throat - photos, symptoms and treatment

Follicular sore throat is an infectious disease that manifests itself in the form of inflammation of the tonsils. In adults, a sore throat can be caused by different types of microbes and is carried by airborne droplets or as a result of contact with dirty dishes or unwashed products.

The causative agent of this form of sore throat is most often streptococci and staphylococcus. The disease occurs when a weakened immunity, general or partial hypothermia of the body.

One of the most common varieties is the follicular form of tonsillitis, the treatment and symptoms of which we will consider today.


Why does follicular sore throat appear, and what is it? It occurs as a result of infection of the tonsils by bacteria that enter the body exogenously (externally) or endogenously (the regeneration of their conditionally pathogenic flora occurs). The main cause of this disease is an infection called staphylococcus.

The occurrence of follicular angina occurs in the following situations:

  • hit in tonsils of streptococci and staphylococci;
  • the presence of microbes that develop in the cold season;
  • significant hypothermia of the throat, which led to a general decrease in the body's immune defenses;
  • viruses diphtheria, syphilis, pneumonia and others that lead to inflammatory processes in the tonsils.

A weakened immune system can no longer restrain opportunistic microorganisms, and they begin to multiply vigorously in the oral cavity, causing inflammation of the tonsils.

Remember that follicular sore throat is acutely contagious, in severe cases the patient remains in the hospital. At home, the patient must be in a separate room, use only personal items, limit contacts.

What happens to the tonsils?

In case of follicular sore throat, inflammation is localized in the follicles of the tonsils, in which pus is formed, translucent through the mucous membrane by yellow-white lesions. As the famous doctor Simanovsky said, the picture of the tonsils in the follicular tonsillitis is very similar to the starry sky.

Over time, these purulent foci can merge with each other, forming one continuous purulent yellow-white patina on the tonsils. Ulcers can melt tissue and break into the throat.

Symptoms of follicular angina

A purulent follicular sore throat has certain symptoms that appear after an incubation period - usually, it lasts no more than a day. Unlike catarrhal angina, purulent processes cause a more severe course of the disease.

Symptoms of angina begin acutely:

  • chills appear;
  • temperature rises to 39-40 degrees;
  • severe weakness, feeling of aching in the lower back and joints;
  • there is a loss of appetite;
  • lymph nodes are enlarged and painful on palpation;
  • palatine tonsils and parts around them swell up, become inflamed and redden;
  • festering follicles are observed — white or yellow plaques on the tonsils;
  • because of the very strong and acute pain, the patient is difficult to swallow;
  • with a strong cold it is difficult to breathe through your mouth and nose.

Examination of the throat clearly shows swelling, swelling and severe redness of the tonsils (most often palatine). The surface of the soft palate and tonsils is covered with a scattering of white and yellow dots of a rounded shape (reminiscent of millet grains), which are festering follicles.

Since this angina is often combined with lacunar, the surface of the tonsils can be covered with white bloom, and ulcers form in the mouths of the lacunae.

Follicular tonsillitis in children

The disease begins with a strong feeling of indisposition. The child may complain primarily of sore throat and deterioration of health. Among the most popular symptoms, which also bring the most unpleasant sensations, there are headaches, aching joints, nausea to vomiting, inability to swallow food. All this happens against the background of abundant fever and chills, which last about 2 hours, and then give way to a state of improvement. Body temperature rises sharply to high numbers.

Such a condition in a sick child lasts for about 2 days, when a peak is reached during an illness. This symptomatology is accompanied by edema of the pharynx and neck, rashes, cough and rhinitis, conjunctivitis, pain in the stomach, an increase in lymph nodes. Greater difficulty for the child is breathing and swallowing.

Follicular tonsillitis: photo

What this disease looks like, we offer to view detailed photos:

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Angina follicular in the photo looks unattractive, but it is not the most unpleasant of its property. She is threatening with severe complications from the cardiovascular system, kidneys and urinary system in general, destruction of the joints. It can become chronic and weaken the immune system.

That is why it is so important to recognize the follicular tonsillitis in the early stages, to differentiate it from other diseases that are similar in symptomatology, to start treatment and bring it to the end while observing bed rest and following the necessary hygienic recommendations.

Treatment of follicular angina in adults

For the purpose of effective treatment, a swab is taken from the tonsils, which is then examined by laboratory methods to determine the causative agent of tonsillitis and its sensitivity to antibiotics.

In most cases, acute purulent tonsillitis is caused mainly by beta-hemolytic streptococcus group A, which is sensitive to penicillins, cephalosporin antibiotics, and carbapenems.

At home, you must follow some rules that in the case of follicular tonsillitis will help cure it faster.

  1. An adult or child should limit activity and spend as much time as possible, preferably in bed. Violation of bed rest and, moreover, the implementation of tedious duties can dramatically worsen the condition of the patient and aggravate the severity of the disease.
  2. The second prerequisite is the abundant use of warm drinks. It is advisable for the time of illness and to change the patient's menu somewhat. Food should be pureed, soft. Because of this, and so the inflamed larynx will not be irritated, and to swallow such food is much easier. Recommended diet table number 13.
  3. A sick person is better to select a separate room, more often to air it and carry out wet cleaning. Dishes, linens and towels should also be separate and boiled or boiled after use. Restrict contact with ill, especially not to let children - they are especially susceptible.
  4. Also the most important condition for proper treatment of follicular tonsillitis at home is frequent gargling. Special antiseptics can be used during the procedure, such as Iodinol, Dolphin, Lugol, Chlorophyllipt, Miramistin, Furacilin (2 tablets per cup of water), herbal infusions, soda solution and salt.
  5. Antibacterial therapy. To eliminate streptococcus, the most common cause is prescribed protected penicillins (augmentin, amoxiclav). In case of intolerance to the penicillin group, other groups of antibiotics: macrolides (azithromycin), cephalosporins 1-2 generations (cefotaxime, cefuraxim). The dosage is individually prescribed by the attending physician according to the age and severity of the course.
  6. Anti-inflammatory and analgesic sprays help to reduce irritation, relieve pain and facilitate swallowing. These drugs include Ingalipt, Kameton, Tantum Verde. You can also use various lozenges for sucking.

If you have a follicular sore throat, the treatment of which is started out of time, and also, if the antibiotic for sore throat is chosen incorrectly and if the patient’s immunity is very weak, then serious consequences may occur.


Treatment of follicular angina with antibiotics should be carried out with strict adherence to individual doses, in accordance with the severity of the disease and the age of the patient.

The most commonly prescribed antibiotics are the penicillin group, such as Bicillin, Amoxicillin, Benzylpenicillin. If a patient is allergic to penicillins, macrolide antibiotics (Clarithromycin, Erythromycin, Sumamed, Azithromycin) or cephalosporins (Cefazolin, Cefalexin) may be prescribed.

Remember that even if your condition has improved, in no case should you stop using antibiotics, because with an incomplete course of taking an antimicrobial drug, the pathogen develops resistance to this type of antibiotic, and the disease begins again, but in a more severe form, and The previous drug will not help.

It is also mandatory for the course of antibiotics, it is important to use drugs that prevent the development of dysbiosis. These include Linex, Bifidumbacterin, etc.

Watch the video: Severe Sore Throat - Acute Tonsillitis and Treatment - Dr Paulose FRCS ENT (April 2020).


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