Quinsy

Quinsy (angina; lat. ango – to smother, squeeze; synonym: (устар.) a throat toad) – the acute infectious disease caused by stafilokokka or streptococci in more exceptional cases – other microorganisms. Inflammatory changes in lymphadenoid tissue of a throat are characteristic of quinsy, it is preferential in palatine tonsils which are shown by moderate general intoxication and pharyngalgias.

Allocate the following types of quinsy:

  • Alimentary (alimentaria) – is characterized by transmission of infection in the food way, for example, streptococcal quinsy in case of transfer of the activator through milk;
  • Side rollers (tororum levatorium) – it is characterized by a hyperemia and a swelling of rollers of muscles which lift a soft palate, in certain cases with existence of whitish plaques or the suppurated follicles; it is more often observed after a tonsilectomy;
  • Catarral (catarrhalis) – is characterized by the expressed diffuse hyperemia of almonds, is frequent – availability of mucopurulent exudate on a surface of almonds, puffiness of palatal handles, moderate reaction of regional lymph nodes (a clinical form of quinsy);
  • Lacunary (lacunaris) – is characterized by emergence of yellow-white plaques in lacunas of almonds which merge further in the form of films; plaques can be removed easily without disturbance of an integrity of a mucous membrane under them (a clinical form of quinsy);
  • Tubarny almond (tonsillae tubariae) – it is characterized by defeat of a pipe (tubarny) almond, usually accompanying an adenoiditis; the complication a tubo-otitis is possible, is more rare – average otitis;
  • Fibrinous (fibrinosa; synonyms: quinsy is fibrinous and filmy, quinsy diphtheroid) – is characterized by emergence of plaques of whitish-yellow color on almonds fibrinous, regional lymphadenitis (a clinical form of quinsy);
  • Follicular (follicularis) – is characterized by suppuration of follicles of almonds in the form of white points of the size of a pin head, regional lymphadenitis (a clinical form of quinsy);
  • Lingual almond (tonsillae lingualis) – it is characterized by a hyperemia, a swelling of a lingual almond, in certain cases – dot plaques on it, difficulty of the speech, increase in submaxillary lymph nodes, morbidity at protrusion of language and pressing on it the pallet.
 
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