Purulent tonsillitis in adults – photos, symptoms andtreatment, early signs, prevention

Purulent tonsillitis is the most common infectious
diseases. The disease is not limited by gender and
age It is diagnosed with the same frequency as in adults,
so in children. This disease appears due to strong
inflammation of the tonsils, due to the ingress of various bacteria in
particular – streptococci. Purulent tonsillitis is transmitted through the air.
(coughing, sneezing, talking to the patient), so the patient needs
isolate for a period of illness.

Despite the fact that the symptoms of purulent tonsillitis are always intense,
many do not lead to full treatment, which leads to a transition from
acute to chronic. Next, let’s talk about the causes, symptoms
diseases, show photos and tell you how the treatment takes place in
home conditions.

The reasons

Purulent tonsillitis у взрослых

Purulent tonsillitis is a lesion of the tonsil parenchyma,
follicular complex
nasopharynx. Заболевание отличается острым началом,
fever, sore throat, swollen lymph nodes,
purulent plaque on the tonsils.

The causative agent of angina falls on the surface of the tonsil.
В результате совокупного действия пониженного местного
(local) and general immunity creates favorable conditions
for the manifestation of its pathogenic activity.

The main route of infection is airborne, but not excluded
transmission of pathogenic microorganisms and household contact (to
example, through the dishes used by the sick child or
adult). Incidence increases with spring and autumn

The most common cause of the disease becomes hemolytic.
streptococcus, however, some other
microorganisms, viruses and fungi. Purulent tonsillitis is provoked near

These include:

  • weakening of the protective properties of the organism;
  • the presence of foci of infection in the oral cavity (stomatitis, caries, cheilitis
  • long stay in the smoke-filled room;
  • inhalation of polluted air;
  • hypothermia;
  • alcohol abuse;
  • tonsil injury.

Sources of infection can be sick people.
(airborne infection), as well as infected
products, dishes and toilet articles (in this case, angina
transmitted by contact).

Forms of the disease

3 формы

In fact, all 3 types of purulent tonsillitis (as in the photo) represent
are stages of the same inflammatory process that
can go one to another as it progresses

Catarral form

Catarrhal ангина считается изначальной формой тонзиллита.
When therapy is chosen correctly, purulent processes are possible.
to avoid.

Follicular sore throat

In this case, pus accumulates in the parenchyma of the glands, they
become inflamed and covered with ulcers. This form has a high risk.
pathogen into the blood due to densely concentrated
blood vessels in the glands. Characterized by intense pain
syndrome, intoxication and edema. Often the pain gives in the ear.

Purulent lacunar form

Pus filled with lacunae of tonsils (see photo). Lacunas are
channels in the tonsils, which are lined by epithelium, and opened in
side of the throat. This form of purulent tonsillitis is practically
identical follicular, but still has its own characteristics. At first
in adults there is marked hyperthermia. Pain syndrome in
the throat is so strong that patients refuse to take water

Incubation period

Incubation period гнойной ангины – время от попадания
causative agent of the disease before the first signs of the disease.
The duration of the period varies from several hours to 2-4.

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 diseased. Danger
sore throat increases if a person is overcooled, if u
it is lowered immunity, as well as in the presence of bad habits:
smoking and alcohol abuse.

Symptoms of purulent tonsillitis in adults

The infection, entering the human body, is deposited on the tonsils and
begins to multiply rapidly. On the fifth day are usually noticeable
signs of angina. The weaker the body’s immune defense, the stronger
exposure to infection and more likelihood

фото горла при гнойной ангине

on the left is a normal throat, and on the right is purulent plaque

Гнойная ангина у взрослых продолжается не более недели
(the exception is the chronic form), after which comes
recovery period.

Medical specialists have identified a number of the most characteristic
signs of purulent tonsillitis:

  • chills, fever, fever, fever (39-40 ° C);
  • increasing pain in the throat, worse during
    swallowing movements;
  • with palpation painful and enlarged mandibular
    lymph nodes;
  • enlarged and reddened tonsils;
  • pus and white patches in the tonsil area, no problem
    removable with a medical tool without damage
    mucous membranes;
  • bright symptoms of intoxication, with pain in the head, feeling
    weakness and loss of appetite.

Also, patients may be disturbed by:

  • pains in the joints and muscles, in the stomach;
  • speeded up heartbeat;
  • cough;
  • runny nose

Purulent tonsillitis in adults can occur without significant
temperature rise. In this case, the main and decisive
signs are sore throat, change in appearance
tonsils: redness, swelling of the mucous membranes, pustules and plaque on

Purulent tonsillitis Characteristic features
  • causes burning sensation and sore throat,
  • slight redness and enlarged tonsils,
    lymph nodes.
  • A thin film of purulent exudate is created.
  • The temperature does not rise above 38 degrees.
  • the temperature rises sharply to 39 degrees.
  • There is a sharp pain in the throat, extending into the ear, a headache,
  • A person experiences weakness, chills, fever.
  • its hallmark is the formation of a raid on

What does the photo look like?

Almost always purulent tonsillitis looks like yellow in the photo
or dirty yellow spots, spots or spreads on the surface of the tonsils.
In some cases, the plaque with it forms a continuous film on

гнойный налёт в горле


On the photo purulent tonsillitis in an adult

Stages of development of the disease

Purulent tonsillitis развивается за один-два дня с момента
infection. Special у людей с ослабленным иммунитетом. Development
bacteria occurs very quickly, so do not delay
treatment. The main thing is to comply with all doctor’s prescriptions.

Symptoms and flow at different stages
2-3 day manifestations of the disease are expressed as clearly as possible:

  • there are ulcers,
  • inflammation becomes strongest
  • even worse state of health.

Body temperature remains high, appetite disappears, pronounced
symptoms of intoxication;

4 day they begin to pass ulcers. Most of them
is opened, with lacunar tonsillitis, the pus is simply separated from
tonsils, in its place remain noticeable perforations of the surface,
which are quickly tightened;
5-6 days the patient has a normal temperature and general condition,
appetite appears;
7-8 days pain in the throat disappears;
10-12 days lymphatic nodes return to normal size, disappear


Purulent tonsillitis опасна своими осложнениями, которые могут быть
both late and early.

Early include:

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

Later may develop:

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

To avoid this, perform simple procedures after
end of therapy:

  • keep gargling with antibacterial agents;
  • drink pills prescribed by a doctor until the very end, even if
    the state is already normalized;
  • after recovery, avoid the risk of reinfection:
    give up ice cream, do not drink cold water, go outside
    only with a low level of humidity.

The prognosis for timely and quality treatment of the disease


The definition of the disease occurs according to the results of three main
types of research:

  1. Survey of the patient, the identification of characteristic symptoms.
  2. Examination of the pharynx, including the use of a pharyngoscope.
  3. Blood chemistry. It shows typical signs.
    inflammation: an increase in the number of leukocytes, an increase in ESR.

How to treat purulent tonsillitis in adults

In case of purulent tonsillitis, it is extremely important to proceed in a timely manner.
treatment 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.

At the first signs of the disease it is necessary:

  • call the doctor at home;
  • adhere to bed rest and follow the recommendations
    the attending physician;
  • provide abundant drinking, taking multivitamin preparations or
    fortified foods.

To avoid the spread of infection, you should maximize
isolate the patient, offer him individual dishes and
personal care products. In addition, should be regularly aired.
and carry out wet cleaning of the room in which there is

Treatment usually lasts no more than 10 days, however, with severe
during the course of the disease and with very advanced stages of good results
will have to wait much longer.

Symptoms of purulent tonsillitis relieve:

  • Инъекциями анальгина или жаропонижающими таблетками
    (парацетамол, суммамед, колдрекс).
  • Антигистаминными препаратами (они устраняют отёчность и
    препятствуют возникновению аллергий): супрастин,
    лоратадин, кларитин и пр. .
  • For regular anti-inflammatory rinses apply
    марганцовку, фурацилин,
    люголь, мирамистин, соду.
  • Special sprays and emollients tablets reduce
  • If the regional lymph nodes are severely inflamed,
    compresses are assigned to the neck from a mixture of antibacterial
    drug, antihistamine, anti-inflammatory agent and
    Dimexidum. Also at home used semi-alcoholic
  • After the temperature drops, physiotherapy is prescribed.
    treatment: UHF, electrophoresis.

Antibiotics for purulent tonsillitis

Treatment of purulent tonsillitis with antibiotics should be complete,
interrupt the course of taking prescribed drugs
in no case, since it is possible medicinal
resistance of bacteria to the antibiotic taken, which will make it
powerless with the re-development of the disease in question.

With purulent inflammation of the tonsils, an antibiotic is usually prescribed.
one of three main groups:

  • Penicillins;
  • Macrolides;
  • Cephalosporins.

In case of complications, it is possible to prescribe a wide range of

  • Tetracyclines;
  • Aminoglycosides.

Throat sprays

Sprays, unfortunately, cannot cure their throats themselves, but
relieve some of the symptoms and relieve the condition in their power.
More valid are considered:

  • Lyugol (has antimicrobial and cauterizing effect);
  • Hexoral (possesses anesthetic and antiseptic
  • Novosept (relieves fungus, relieves pain, kills
  • Anti-Angin (used as local anesthesia and kills
  • Chlorophyllipt (antiseptic);
  • Miramistin (has a bactericidal effect);
  • Bioparox (contains antibiotic).

Gargling with purulent tonsillitis

Gargle at home need as often as possible to
thus removing microorganisms from the throat. After this procedure
need to use special sprays or dissolve tablets
with antibiotics.

The most common solutions and decoctions for rinsing –
solutions with furatsilinom, soda, sea salt, alcohol
chlorophyllipt, stotidin, decoctions of chamomile, calendula. Special
a pronounced effect is observed when the throat is gargled for the first
days of illness every 30–60 minutes

  1. The perfect rinse is red juice.
    beets. To get it, the vegetable is rubbed and then squeezed. K 200
    g beet juice should add 1 tablespoon of vinegar.
    Rinse should be carried out until complete recovery.
  2. Can be used to rinse to quickly get rid
    from the inflammatory process. In a glass of warm water dilute 1 tbsp.
    spoon peroxide, rinse. In addition to the anti-inflammatory effect,
    peroxide helps to remove plaque from the tonsils.
  3. Effective remedy “Sea water”. To a glass of hot water: 1
    tsp soda salt, 5 drops of iodine. Gargle with this tool.
    recommended at least 4-5 times a day.
  4. Furacilin. Used as a rinse solution,
    irrigation throat. Active against the most common
    pathogens of angina bacterial nature.
  5. Potassium permanganate solution (potassium permanganate). He is at
    contact with the mucous membrane irritates it, causes
    her tanning It binds bacteria proteins, destroying them.


Immediately it is worth noting that the treatment of purulent inflammations with steam
inhalation is prohibited. Slight temperature increase in
oropharynx creates optimal conditions for the development of disease-causing
agents. To prevent complications, inhalation is performed with
using a nebulizer that converts the drug solution into
room temperature spray.

The number of effective mortar drugs include:

  • �”Furacilin”;
  • �”Rotokan”;
  • �”Chlorophyllipt”;
  • �Cromohexal;
  • �”Gestamycin”;
  • �Malavit;
  • �Tonsilgon N;
  • �Miramistin;
  • �”Dioxidin”.

These are the main treatment options for purulent tonsillitis in adults in
home conditions.


  1. When communicating with patients with purulent angina patient should
    wear a cotton gauze bandage and also practice
    prophylactic gargling using ointments for
    the nose.
  2. Hygiene items, dishes. The patient must be allocated
    individual household items.
  3. If therapy is carried out at home, it is important to spend every day
    cleaning with disinfectant solutions and periodically
    air the room.

Proper nutrition and drink

To avoid traumatizing the inflamed mucous, food,
употребляемая больным  в период болезни, должна быть мягкой и
warm, and to improve the immune status of the patient’s body –

For the purpose of more rapid elimination of toxins, the patient is shown
plenty of drink, of course, in the form of heat:

  • fruit and vegetable fruit drinks,
  • lemon green tea
  • warm milk with honey
  • alkaline mineral water without gas.

These drinks should be practically the basis of the patient’s diet.

Priority products for purulent tonsillitis are:

  • curd dishes, puddings, eggs, mashed vegetables (potatoes,
    carrots, pumpkin, cauliflower, celery), grated boiled
    meat, yogurt, oatmeal, semolina and rice porridge;
  • broths from meat, chicken and fish;
  • warm fresh juices, compotes, jellies, jellies, fruit
    mousses, bananas;
  • tea with lemon, milk with honey, herbal teas (preferably
    currant, raspberry or rosehip tea);
  • honey and bee products.

Folk remedies for the treatment of purulent tonsillitis

Before treating purulent angina with traditional medicine in
home conditions, it is imperative to consult with
doctor, as they play in this case auxiliary, and not
the main role.

  1. Propolis. Natural remedy absorbed in the mouth
    после очередного приема еды и irrigation throat. On the day you can
    use about a teaspoon of biologically active
  2. Fruits and leaves of lingonberry in the ratio of 1: 1 fill with water and
    bring to a boil: for 1 part of raw material – 3 parts of water. Cover
    decoction cover and leave for an hour, then strain and
    drink up This drink should be taken up to 1 liter per day, replacing them
    other liquids. The rich composition of lingonberry helps to restore strength
    body and prevent the development of complications.
  3. Aloe. His juice must be diluted with water in a ratio of 1: 1 and also
    use for gargling.
  4. Traditional medicine advises when purulent tonsillitis use
    внутрь для улучшения иммунитета decoctionы из веточек и плодов малины,
    blackberries, currants, and tea with lemon and honey.
  5. Tea rose. 1-2 tablespoons of fragrant rose petals in
    fresh or dried, you need to pour in a thermos, pour in the same
    200-300 ml of boiling water and insist about an hour. Gargle so
    infusion 3 times a day.
  6. Применяют для промывания горла раствор перекиси водорода
    3%. A teaspoon of peroxide is diluted in 250 ml of boiled water. Such
    the composition is well washes away the plaque, oxidizes the infected surface,
    killing pathogenic microbes. In no case does not apply
    undiluted peroxide! It will create on the mucous surface


For the prevention of angina purulent or other
heavy type is recommended to use preventive measures:

  • avoid hypothermia;
  • do not abuse cold drinks, ice cream, especially in
  • strengthen the immune system with vitamins and hardening;
  • timely treat caries and other cavity diseases
  • rinse your mouth and throat regularly with boiled water or weak
    saline solution.

All patients diagnosed with purulent tonsillitis should
understand how serious this disease is. When pathology is needed
adequate therapy, because an illness with improper treatment or
its complete absence can easily become chronic.
Follow all recommendations of the doctor and you will quickly recover.
Health to you and do not get sick!

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