Meimei is a 4-year-old girl, 3 days ago, she had a fever, her body temperature reached a maximum of 40 °C, accompanied by cough, paroxysmal single cough, always wilting, and she didn't want to eat, her parents saw it in their eyes and felt pain in their hearts, so they took Meimei to the local hospital for treatment, and the doctor said that Meimei's tonsils were suppurated, so she prescribed "cephalosporin, Motrin" to Meimei Treatment, but after 2 days of medicine, Meimei still had a recurrent fever, her eyes began to become red and swollen, bulbar conjunctival congestion, and she could see a lot of yellow-white eye discharge every morning, so she brought her to the hospital again.
After the doctor gave Meimei a detailed physical examination, it was found that Meimei not only had recurrent fever, bulbar conjunctival hyperemia, and swollen tonsils, but also felt several broad bean-shaped bags on the neck, indicating that the cervical lymph nodes were also swollen, and the pharyngeal congestion was also obvious. Infectious mononucleosis and acute purulent tonsillitis are very likely, so I checked a blood routine for Meimei, and found that the white blood cells were slightly increased, neutrophils were increased, and CRP was also slightly increased.
Acute purulent tonsillitis, pharyngeal conjunctival fever, and infectious mononucleosis are all common infectious diseases, and while they can all cause laryngeal discomfort and sore throat, there are some similarities in symptoms and signs, but there are also some differences in the causes, symptoms, and management of the three.
They are all diseases caused by infection with different pathogenic microorganisms, which are contagious to a certain extent and can be transmitted by droplets, contact, etc. can cause fever, which varies from person to person, and usually resolves as the disease progresses. can cause swollen lymph nodes, laryngeal discomfort and sore throat. Children may feel burning, swollen and sore in the throat, causing discomfort such as anorexia, but they also have differences.
pathogen
Acute purulent tonsillitis is usually caused by bacterial infection, and B or A hemolytic streptococci are the main cause of acute purulent tonsillitis. Infectious mononucleosis is caused by Epstein-Barr virus infection, and pharyngeal conjunctival membrane fever is caused by adenovirus infection.
Symptoms: Sodiac
Acute purulent tonsillitis may present with fever, sore throat, redness, swelling, and purulent discharge from the tonsils. The tonsil discharge of patients with infectious mononucleosis is often grayish-white, usually accompanied by one or more uncomfortable symptoms such as fatigue, general malaise, nasal congestion, cervical lymphadenopathy, eyelid edema, liver enlargement, and spleen enlargement, while pharyngeal conjunctival fever will cause fever, tonsillar pseudomembrane, cervical lymphadenopathy, and bulbar conjunctival hyperemia.
Check the results
The white blood cell count, neutrophil count and CRP of acute purulent tonsillitis are usually significantly elevated, while the total number of white blood cells in infectious mononucleosis is increased, the lymphocyte count is more obvious than the neutrophil count, the proportion of abnormal lymphocytes in the peripheral blood smear is ≥ 0.10, and the liver enzymes are often also elevated.
treat
Acute purulent tonsillitis usually requires treatment with antibiotics such as penicillin, cephalosporins, etc., to clear the bacterial infection. Infectious mononucleosis and pharyngeal conjunctival fever are caused by viral infections and are generally treated with symptomatic supportive care, such as adequate rest, prompt defervescence, and fluid intake.
Acute purulent tonsillitis, pharyngeal conjunctival fever, and infectious mononucleosis, although they share some of the same symptoms, can be distinguished by symptoms, signs, and ancillary findings, i.e., not all purulent tonsillar changes require antimicrobial therapy. Therefore, when the child has symptoms such as fever and enlarged tonsils, it is still necessary to go to the hospital in time for timely diagnosis and treatment.