Angina, a common disease

Angina is an inflammation of infectious origin of the tonsils, or even of the whole of the oropharynx. It is very common, especially in children between 5 and 15 years of age, and most often of viral origin. The point on the angina.

Viral or bacterial angina

Angina, a widespread disease, can be viral or bacterial, which guides the treatment. There are some rarer forms of angina.

Rare angina

Sore throat, fever, chills, difficulty swallowing ... Angina affects more than 9 million people each year. It is an acute throat infection that causes a responsible inflammation of pain exacerbated by swallowing. His symptoms? Fever sometimes elevated more or less accompanied by chills, stiffness, headache, pain in the throat that can radiate to the ears, sometimes swollen glands in the neck and under the chin. The age of 3 years - before, children suffer mostly from nasopharyngitis - and has a peak incidence in children between 5 and 15 years. If the bacterial angina recurs too often (angina more than six times in winter, despite well managed management), it is possible to consider a tonsillectomy (ablation of the tonsils). Erythematous angina (called red angina) and erythematous Pultaceae (called white tumors) are the most frequent angina (92% of cases).

Between 50 and 90% of acute angina are of viral origin. They do not need to be treated with antibiotics, as has long been done. They heal spontaneously in a few days. Only symptoms (fever, pain) are treated with antipyretics, analgesics, mouthwashes, and bacterial infections are more rare. Bacterial angina is caused by bacteria such as streptococci (called strep throat) or staphylococci. 25-40% of childhood angina, 5-15 years in particular, and 10-25% of adult angina are caused by hemolytic streptococcus beta. One test, the Rapid Diagnosis Test (TDR), identifies strep throat. They require antibiotic treatment to prevent a rare but serious complication, acute rheumatic fever (RAA).

Let us mention other types of angina, more rare. Pseudomembranous angina (3% of cases) first: infectious mononucleosis and diphtheria. Infectious mononucleosis (MNI) is viral angina in adolescents, transmitted by saliva and highly contagious. Diphtheria, bacterial angina, is serious: it is an angina with false membranes that can block the larynx. It has become exceptional in the United States thanks to anti-diphtheria vaccination, as well as ulcerative and ulceronecrotic angina: Vincent's angina. This is a bacterial angina of the young adult, often related to poor oral condition. Finally, mention vesicular angina: herpes angina, herpangine, viral angina.

Angina is a symptom not to be neglected because some angina can generate complications. If your symptoms persist for more than 48 hours, see a doctor.