Follicular sore throat: symptoms and treatment

Follicular angina is a disease characterized by purulent inflammation of the tonsils of the tonsils. In the case of progression of this disease, the pus is located on the surface of the lymphoid formations of the pharynx in the form of separate point foci. The pathological process can affect pharyngeal, palatal, tubal and lingual tonsils. Progression of follicular angina is accompanied by regional lymphadenitis, and severe hyperthermia.

Angina of this type affects people between the ages of 7 and 40 more often. Much less often follicular tonsillitis is diagnosed in people of the age category from 41 to 60 years. This ailment is very contagious, so a sick person must necessarily be isolated from others in order to prevent the spread of infectious agents.


The etiology of follicular sore throat includes two factors:

  • the effect on the human body of infectious agents. Progression of angina of this type provokes beta-hemolytic streptococcus, fungi of the genus Candida, viruses and staphylococcus of some subspecies;
  • Decreased reactivity of the body. To contribute to this can hypothermia, hypovitaminosis, chronic fatigue, inadequate and inefficient nutrition.

Ways of transmission of infectious agents:

  1. contact and household
  2. airborne. Most often, angina patients become infected precisely during inhalation of air with microbes;
  3. fecal-oral.

Main transmission factors:

  • household items — dishes, personal hygiene items, toys, etc.
  • water and food.


The first symptom of the progression of follicular sore throat is pain when swallowed, which can radiate into the ear. Even at the initial stage of the disease, it is possible to detect changes in the composition of the blood. Leukocytosis, an increase in ESR, and a shift of the leukocyte formula to the left are noted. All this indicates the development of an acute inflammatory process. Often the first symptoms of this type of angina are similar to those of infectious mononucleosis, herpetic tonsillitis, oral candidiasis. Therefore, it is important, when they manifest themselves, to immediately consult a qualified doctor for a full diagnosis and the appointment of an adequate treatment plan. In the early stages of development, pathology can not be cured.

Symptoms of follicular sore throat:

  1. pronounced hyperthermia. It is very difficult to lower the temperature;
  2. weakness and chills
  3. the patient is thirsty
  4. dryness in the mouth
  5. Persecution in the throat. In the future, the possible addition of a symptom such as cough;
  6. increase in regional lymph nodes. When palpation, their soreness is noted;
  7. intoxication syndrome;
  8. increase in salivation
  9. loss of appetite until it is completely lost
  10. enlargement of tonsils and their hyperemia
  11. On the affected tonsils there are purulent foci. They are small in size, but they can easily be identified by visual inspection. They look like small tubercles of dirty-yellow color (due to accumulation of purulent exudate)
  12. digestive disorders
  13. Headache of varying intensity.

Angina without hyperthermia

Any purulent process in the body is always accompanied by hyperthermia. Not an exception and this type of tonsillitis. But for several years clinicians have been observing an interesting phenomenon — follicular sore throat without temperature. It is important to know that hyperthermia is a unique reaction of the body, which is activated when infectious agents penetrate it. The heat kills them. If there is no hyperthermia in the purulent process, then this may mean that:

  • various autoimmune diseases occur in the patient’s body;
  • heart failure progresses;
  • the metabolic process was disrupted;
  • the body’s reactivity is reduced;
  • people too often use antibiotics
  • the patient takes vasoconstrictive pharmaceuticals
  • the body is exhausted.

Pathology in children

Follicular angina in children is much more severe than in adults, and it is more difficult to cure it. Most often, infection occurs by household means, as children constantly visit schools and kindergartens and use common toys and other things there. Symptoms of ailment in children are always expressed very clearly. The condition of a small patient deteriorates rapidly.

Symptoms of the disease in children:

  1. hyperthermia up to 40 degrees;
  2. The neck is swelling. This symptom is caused by an increase in regional lymph nodes;
  3. lacrimation
  4. Lack of appetite and even vomiting is possible
  5. the skin appears on the skin;
  6. severe cold;
  7. the throat is hyperemic, on the tonsils plaque.


Only the doctor-otorhinolaryngologist can precisely establish the diagnosis. The plan for the diagnosis of pathology includes:

  • Survey
  • pharyngoscopy;
  • Laryngoscopy
  • bacteriological culture to identify the pathogen
  • test for the presence of beta-hemolytic streptococcus group A.


The pathological process with angina is initially localized in the pharynx. But this does not mean that only this part of the human body is limited. Angina negatively affects other organs and systems of the human body. Most often, the ailment gives such complications:

  1. Collagenases;
  2. heart disease;
  3. Raynaud’s disease;
  4. Meniere’s syndrome;
  5. dermatitis
  6. Urinary system diseases
  7. arthritis;
  8. arthrosis;
  9. viral hepatitis
  10. chronic inflammation of the lungs and others.

Healing measures

How to treat a follicular sore throat can be said only by a qualified physician, based on the results of the examination, as well as the laboratory and instrumental methods of examination performed. Cure it completely and prevent the development of complications is quite possible if you seek medical help in a timely manner. Treatment of follicular sore throat is performed in a hospital. It can be both medicamental and surgical. The choice depends on the general condition of the patient and the severity of the course of the pathological process.

Medicamentous treatment of follicular sore throat necessarily includes antibiotics of a wide spectrum of action. Their main task is to destroy the causative agent of the disease. Widely used the following antibiotics for follicular angina:

  • Benzylpenicillin;
  • amoxicillin;
  • summed;
  • erythromycin.

Medication of follicular sore throat also includes:

  1. rinsing with herbal decoctions;
  2. washing of affected follicles with antiseptic solutions
  3. injections into the tonsils
  4. Aspiration of pus by special vacuum suction
  5. treatment of eyes with wound healing oil
  6. taking vitamins and immunostimulants;
  7. taking antihistamines;
  8. Novocaine blockades.

Surgical treatment of the disease is indicated in such cases:

  • the spread of purulent process to nearby tissues
  • with a significant hypertrophy of the tonsils, which prevents a person from breathing or eating normally;
  • if antibacterial therapy has no effect.

During the surgical intervention, the doctor removes the affected tonsils.