Acute Pharyngo-tonsillitis

as the pharynx has lateral cords with the same type of tissue as in Waldeyer’s lymphatic ring. It is very rare to have a patient with an isolated tonsillitis, as the lymphatic ring is generally involved, and therefore pharyngo-tonsillitis is the correct term. The same analogy can also be made with sinus pathology, as the nasal tissue is also involved in cases of allergy or infection, and the patient has a rhino-sinus pathology. Defi nition PT is a self-limited infection, generally restricted to the tonsils, posterior pharynx, uvula, posterior soft palate and the lymph nodes of the Waldeyer’s lymphatic ring that drain the anterior cervical region. PT is one of the most complaints that take a child to the offices of pediatricians, otorhinolaryngologist and general practitioners. In a survey involving 429 pediatricians in the United States, upper respiratory tract infections and ear infections were the most common causes for a visit, and PT was the third most common problem, responsible for 17% of the visits, according to the age of the child3. 3 – Etiology 3.1 – Predisposing factors PTs are infections transmitted from person to person. The nasopharynx and oropharynx are the main sites for organisms to colonize.. Aerosol secretions of the upper respiratory tract act as a primary transmitting source of the causative agents. The presence of a susceptible host is necessary and spreading is facilitated by a very close contact. A larger group of children, as in day care centers and schools where they are in close contact with potentially infected persons, is associated with a more frequent transmission of the disease. In children, the bacteria most commonly associated with PT are the Group A Streptococcus pyogenes (GAS) or Group A beta-hemolytic Streptococcus (GABHS). In the last 50 years, since antibiotics became available, most pharyngotonsillar infections caused by GABHS are benign, self-limiting processes, with no complications. However, a small number of affected individuals will develop a severe disease as the necrotizing fasciitis and its sequelae, as renal and cardiac complications after infections by GABHS. There are reports that administration Acute Pharyngo-tonsillitis