How to treat fungal angina. Causes of infection with fungal tonsillitis: provoking factors and symptoms of the disease Fungal tonsillitis in a child treatment

Candidiasis (fungal) angina is an infectious disease characterized by damage to the lymphadenoid pharyngeal ring by pathogens. The causative agent of infection is a fungus such as Candida or Aspergillus in association with coccal flora. In preschool children, the clinical manifestations of ENT diseases are pronounced, which is due to a reduced reactivity of the body.

Fungal tonsillitis in children occurs as a result of a decrease in general and local immunity. The provocateurs of pathological changes in the body are: vitamin deficiency, hypothermia, irrational intake of glucocorticosteroids and antibiotics. By itself, the pathology does not pose a threat to life, however, untimely destruction of fungi can lead to the development of systemic diseases.

Fungal angina - what is it?

According to medical terminology, candidal or fungal tonsillitis is a fungal infection of lymphadenoid formations, namely the palatine tonsils. However, in the case of the development of pathology, foci of inflammation are localized not only in the tonsils, but also in the mucous membrane of the oropharynx. Based on this, it is not entirely correct to use the term "fungal sore throat".

There are three subspecies of candidal inflammation of the oropharynx:

Fungal tonsillitis - defeat of the palatine tonsils;
Pharyngomycosis - damage to the mucous membrane of the pharynx;
Tonsillopharyngitis - simultaneous damage to the pharynx and tonsils.

As a rule, candidal tonsillitis with untimely treatment is replaced by pharyngomycosis or tonsillopharyngitis. The principles of treatment of the above pathologies are identical and involve the use of antifungal (antimycotic) and symptomatic drugs.

causative agents of infection

Candidiasis of the oropharynx is provoked by opportunistic microorganisms, which include yeast-like (Candida albicans) and mold (Aspergillus) fungi. In the case of immunodeficiency, the balance between "beneficial" and "harmful" microorganisms that make up the microflora of the ENT organs is disturbed. The active development of pathogenic agents leads to the formation of foci of inflammation in the lymphadenoid tissues.

The key reason for the decrease in the body's resistance to pathogens is dysbacteriosis. The causes of the development of a fungal disease in a child can be endogenous and exogenous:

irrational nutrition;
abuse of antibiotics;
chronic ENT diseases;
hypovitaminosis and anemia;
diabetes;
chronic fatigue;
taking corticosteroids.

Important! Candidal tonsillitis can cause the development of acute lymphadenitis, which is treated exclusively with antibacterial drugs.

Young children are more susceptible to the disease, due to reduced immunological reactivity. Infection with pharyngomycosis can be observed in the first months of a child's life upon contact with fungal flora.

Clinical picture

The presence of white plaque on the palatine tonsils is the main sign of the development of candidal tonsillitis. It is possible to accurately diagnose the disease only after passing a serological analysis and determining the type of infectious agent. Local manifestations of the disease are similar to the symptoms of purulent tonsillitis, which is treated mainly with antibiotics. However, fungal microorganisms are not sensitive to the effects of antimicrobial agents. Untimely appointment of antimycotic drugs can lead to complications.

Fungal angina is characterized by mild intoxication of the body, so the general symptoms of the disease are mild. These include:

minor headaches;
throat discomfort;
weakness and drowsiness;
subfebrile fever.

At the stage of acute candidal inflammation, multiple white spots appear in the oropharynx, which are localized on the palatine arches, tonsils, uvula of the soft palate, pharynx, etc. After mechanical removal of plaque on the mucosa, bleeding ulcers appear, which provoke tissue edema. In places of the greatest damage to the mucosa, detachment of the epithelium is observed.

Important! White plaque signals the development of yeast-like, and green or yellowish - mold fungi.

In children, treatment of candidal tonsillitis should be started when the first symptoms of the disease occur. Delayed therapy can cause the formation of a white coating on the tongue, the inner surface of the cheeks, the walls of the throat, etc.

The specifics of the course of the disease

Candida inflammation of the oropharynx can occur in several forms, which should be considered when making a diagnosis. Acute pharyngomycosis is often confused with purulent tonsillitis due to the similarity of clinical manifestations: sore throat, headaches, hyperthermia, enlargement of regional lymph nodes.

The subacute form of the disease is almost asymptomatic, which prevents diagnosis and treatment before the age of 1 year. Untimely destruction of fungal pathogens leads to chronicity of inflammatory processes. Chronic candidal tonsillitis practically does not manifest itself in any way, but exacerbations can occur approximately 2-3 times a year, characterized by typical manifestations of pharyngomycosis.

Inflammatory processes in the body will continue until etiotropic treatment is carried out.

If left untreated, candidal inflammation will lead to the progression of the fungal flora and the formation of a curdled plaque on the entire surface of the tongue. Pathological processes can cause a change in taste sensations and the development of candidal stomatitis.

Differential Diagnosis

In most cases, candida inflammation of the mucous membranes can be diagnosed with a visual examination of the throat. Due to the fact that the lymphadenoid tissue in infants has a loose structure, curdled plaque is not much different from purulent formations. Therefore, it is possible to accurately determine the type of disease only after microbiological throat smear studies.

When determining the causes of the development of the disease, the presence of somatic diseases, secondary immunodeficiencies, as well as adverse reactions to taking glucocorticosteroid drugs are taken into account. A biochemical blood test allows you to determine the concentration of bacteria in the plasma. The absence of an excess number of microbes in the body is one of the strongest evidence of the presence of candidal inflammation.

Differential diagnosis of pharyngomycosis is carried out with such pathologies as:

streptococcal tonsillitis;
scarlet fever;
syphilis;
herpes stomatitis;
bacterial mononucleosis.

In the presence of mixed flora in the foci of inflammation, the specialist conducts the Femoflor-Screen test, which allows you to determine the causative agent of the infection with 100% probability.

Principles of treatment

What should be the treatment of fungal tonsillitis in children? Since candidal tonsillitis and pharyngomycosis occur against the background of dysbacteriosis, therapy begins with the restoration of normal microflora. If the pathology has developed as a result of irrational use of antibiotics, the treatment regimen is adjusted, replacing antimicrobials with antimycotics.

To increase the number of lactobacilli in the small intestine, the patient is prescribed a special diet with an emphasis on dairy products, fruits, fresh vegetables and protein foods. Complex drug therapy consists in the use of the following medications:

At the stage of regression of pathological processes, a specialist can prescribe physiotherapy procedures. Irradiation of lymphadenoid formations with ultraviolet light contributes to the destruction of bacterial and fungal flora, thereby increasing local immunity.

Antimycotic therapy

Antifungal drugs have a pronounced fungistatic and fungicidal action against yeast-like and mold fungi. Their active components inhibit the biosynthesis of cytochrome, which prevents the formation of cell membranes of pathogens. Systemic drugs prevent the spread of candidal inflammation, which speeds up the healing process.

In pediatric therapy for the treatment of pharyngomycosis, the following antimycotics are used:

"Fluconazole" - a drug with a fungistatic effect; inhibits the production of fungal sterols, which prevents the further development of pathogens;
Levorin is a low-toxic agent that destroys yeast-like fungus and protozoa such as Trichomonas vaginalis; the components of the drug do not accumulate in the body, which prevents the occurrence of adverse reactions;
"Nystatin" - an antimycotic fungicidal action that destroys aspergillus, yeast-like fungi and protozoa; It is used to eliminate candidal inflammation not only in the oral cavity, but also in the gastrointestinal tract.

Drug abuse can cause vomiting, diarrhea, chills, and abdominal pain.

You can stop the manifestations of candidal tonsillitis only if you undergo etiotropic therapy. Symptomatic drugs only facilitate the course of the disease, but do not destroy the cause of its occurrence - the fungal flora.

Local treatment

Candida tonsillitis is easily treatable only at an early stage of pathology development.

In case of late diagnosis and incorrect previous treatment, the fungal flora is often pathogenic bacteria join. To eliminate foci of inflammation in the lymphadenoid formations, topical preparations are used.

How is fungal tonsillitis eliminated in children - what are the symptoms and treatment of the child? Local therapy consists in irrigating the throat with agents that have antimycotic and antimicrobial properties. Medications are prescribed only by the attending physician after an accurate diagnosis. Safe antiseptics that can be used to sanitize the oropharynx include:

To accelerate the regression of candidal inflammation, the rehabilitation of the throat should be performed at least 4-5 times a day for a week. Some of the above drugs, in particular Miramistin and Chlorhexidine, can be used to prevent fungal infections. Their active components stimulate a non-specific immune response, which prevents the development of opportunistic microorganisms.

Effective immunostimulants

Immunostimulants are drugs that increase nonspecific immunity. The systematic use of drugs prevents the development of infectious ENT diseases in children. As prescribed by the pediatrician, they are used on the eve of seasonal diseases, such as tonsillitis, SARS, influenza, bronchitis, etc.

For preventive purposes, to increase the reactivity of the child's body, plant-based preparations are used.
They practically do not cause allergic reactions, but at the same time stimulate the production of interferon in the body. Biogenic agents, which include vitamins and trace elements, are called adaptogens. They prevent the development of hypovitaminosis, which is one of the key factors in reducing the body's resistance.

Among the effective immunostimulants include:

"Amixin";
"Derinat";
"Immunal";
"Milif";
"Ribomunil";
"Betaferon".

The above funds are recommended for use at the stage of resolving candidal inflammation in the throat mucosa. The systematic use of immunostimulants prevents chronicity of pathological processes and relapses of the disease.

Fungal angina is a disease caused by candida and affecting the tonsils. It often develops if antibacterial drugs have been incorrectly prescribed or the immune system has been impaired. The treatment of fungal tonsillitis differs from the course of therapy for other types of the disease. That is why it is necessary to carefully study the symptoms of this disease.

Fungal angina often occurs when the microflora is disturbed. The latter develops as a result of a change in diet (or when changing diet), after prolonged use of antibiotics, immunomodulatory drugs or corticosteroids, as well as when a small inflammation occurs. All these situations weaken the immune system and cause a fungal form of angina.

In addition, the disease can develop with beriberi, hypovitaminosis or a chronic form of tonsillitis. Sometimes the disease develops after severe infectious lesions that change the composition of the microflora.

Symptoms of fungal tonsillitis are most often not very pronounced. To recognize this form of the disease, additional diagnostics should be carried out.

A pharyngoscopic examination in case of illness reveals a yellowish coating on the tonsils, which is also on the tongue and cheeks. Bacteriological examination shows that there are fungi called candida in the oral cavity.

The course of therapy for fungal angina includes taking antifungal drugs, sprays, as well as washing the tonsils with antiseptic solutions. In addition, the doctor prescribes general strengthening drugs.

Fungal angina in children

This form of the disease is often found in young children, since their immunity is still very weak and easily amenable to the development of various infections. Fungal tonsillitis in children is caused by fungi of the Candida class.

Usually this disease is not accompanied by any severe symptoms. However, there are signs by which the presence of this disease can be determined: a white or yellowish-white coating, which is easily scraped off from the mucous membrane and tonsils. Also, if there is pain in the throat, the child can become capricious and irritable.

The baby is often naughty during breastfeeding, as it is unpleasant for him to swallow milk. Also, fungal tonsillitis is often transmitted through a nursing mother. When infected, a nursing mother notices itching and red color of the skin on the nipples. Sometimes infection occurs again and again, since both the mother and the child need to be treated if there was already feeding after infection.

Symptoms

The symptoms of fungal tonsillitis are as follows:

there are small headaches that show a long character;
general malaise and weakness;
when probing, the lymph nodes stand out strongly, their increase and soreness are observed;
the mucous membranes of the oral cavity and tonsils are covered with a white or yellowish-white coating, which is easily scraped off;
the patient complains of pain when swallowing food;
there is a sensation in the throat;
an unpleasant odor comes from the oral cavity;
food often seems tasteless;
there is an increase in temperature to 38 degrees and above.

These symptoms determine that tonsillitis is taking place, but additional diagnostics should be carried out to identify the exact form of the disease.

Treatment

How to cure fungal sore throat? Treatment of fungal angina should begin immediately after the discovery of the disease. If there are no clinical signs of the disease, then self-medication is unacceptable, as it can lead to serious complications. Of course, the treatment of angina can be carried out at home, but regularly visit a doctor.

First of all, it should be understood that treatment will not make sense if the cause of the disease is not found. If the reason is taking antibiotics or other medications, then you should stop them for a while. If the reason is malnutrition or a lack of any vitamins and hormones, then these problems should be urgently resolved.

Usually, the treatment of fungal angina is as follows:

first of all, drugs against the fungus are prescribed, for example, Nystatin;
antiseptics and agents that kill the fungus, for example, Miramistin;
antiseptics (Furacilin) and decoctions of herbs for gargling;
areas affected by plaque can be treated with iodinol solutions;
drugs that stimulate the immune system;
the need to adjust the diet - it should include fermented milk products;
course of vitamin and mineral complexes.

With a complication of the disease or with a running process, the following drugs are prescribed:

Itraconazole. The strongest antifungal drug;
Fluconazole (intravenous administration). With a severe degree of angina;
Amphotericin. It is prescribed for the extreme stages of fungal infections.

To treat fungal angina is quite difficult and long. This group of drugs can only be prescribed by a specialist, since self-medication can seriously harm and cause complications, although it can remove some of the symptoms.

rinses

Rinsing with angina is an integral part of the treatment, as it helps to avoid the addition of additional infections. To carry out this procedure at home, you should use pharmacy solutions that the doctor will prescribe. Usually, fungal tonsillitis is treated with the following rinse methods:

baking soda dissolved in water. Due to the alkaline environment, fungal microorganisms die, so this method is very effective;
you can use a mixture of soda, salt and vinegar;
with fungal angina, a decoction of calendula helps well. It allows you to heal microtraumas and soften the oral mucosa;
often a mixture of honey, water and lemon juice is used for rinsing. This solution has a softening effect and significantly relieves painful symptoms;
tincture of propolis or aloe disinfects well;
often, decoctions of medicinal herbs are used for rinsing: chamomile, St. John's wort, succession, pine and others;
an infusion of garlic also copes well with a fungal infection;
You can use a mixture of tea tree essential oil and water. The solution noticeably alleviates pain;
pharmaceutical preparations also help well with angina: Furacilin, Miramistin, Hexoral, Chlorhexidine and many others.

An important mention when rinsing is that you should not eat for half an hour after the procedure.

If fungal tonsillitis is detected, several home treatment methods can be used before going to the doctor, but they should not be carried away. First aid may be the following methods:

garlic has strong antibacterial properties and has a powerful effect on the causative agent of a fungal disease. Garlic is consumed both fresh and drunk in capsules;
natural yoghurts high in probiotics. They quickly restore the disturbed microflora and reduce the clinical manifestations of fungal infection;
tea tree oil also has strong antibacterial properties and is used as a rinse solution.

do not eat sweets (sweets, cakes) and foods containing sugar in general. This contributes to the increased growth of fungal microorganisms;
you should also abandon soy products, drinks containing a lot of caffeine;
candidal tonsillitis requires exclusion from the diet of food containing many nutritional supplements.

The diet should be correct, and the food included in the diet should be as useful as possible. If treatment with the drugs prescribed by the doctor did not help, and the disease began to be chronic or protracted, then surgical intervention methods are used.

Preventive actions

Preventive measures include improving the performance of the immune system. To avoid the appearance of fungal tonsillitis, you should adhere to the following rules:

hardening must be carried out in early childhood. It is impossible to carry out preventive measures when the disease has already taken by surprise, as this will only lead to serious complications;
should eat right. The diet must include fermented milk products, cereals, vegetables and fruits, fish;
if nasal breathing is difficult for any reason, then it is recommended to eliminate them as soon as possible. In conditions of lack of oxygen passing through the respiratory tract, fungal microorganisms feel confident and begin to multiply actively;
antibiotics seriously harm the human microflora. That is why, after a course of therapy with antibiotics, the doctor prescribes drugs that restore the normal microflora. This rule applies not only to antibiotics, but also to other drugs that can injure the oral mucosa and create all conditions for the reproduction of pathogenic microorganisms;
adults in the prevention of the disease should take vitamin-mineral complexes.

Fungal tonsillitis can cause serious complications, so at the first symptoms, you should immediately visit a doctor. Self-medication in this case is unacceptable. To avoid the disease, it is recommended to regularly carry out preventive measures.

Not really

An infectious disease, the main symptoms of which are redness and white plaque on the tonsils, is fungal tonsillitis, which often develops against the background of long-term antibiotic treatment. Otherwise, the pathology is also called tonsillomycosis. The main reason is fungal infection. The danger of the disease is that due to plaque on the tonsils, it is often confused with purulent tonsillitis. For this reason, it is very important to know the symptoms, types and methods of treatment of tonsillomycosis.

What is fungal angina

This is the name of an acute infectious disease that is provoked by fungi of the genus Candida albicans or Leptotryx buccalis. In recent decades, the disease began to appear frequently in both adults and children. Pathology is characterized by an inflammatory process in the pharynx. It turns red, and the tonsils are enlarged and covered with a white coating. Fungal tonsillitis is not contagious, because its cause is the reproduction of fungi that are already in the mouth. They are part of the normal microflora, and with strong immunity, they not only do no harm, but also perform useful functions.

The term "fungal tonsillitis" is a generalized formulation for several varieties of this disease. The main ones are the following:

pharyngomycosis;
fungal tonsillitis;
laryngomycosis.

Pharyngomycosis

This form of tonsillomycosis is a fungal infection of the entire pharynx - the mucous membrane of the soft palate, oral cavity, tongue and arch. The clinical manifestations of the disease are burning, dryness, perspiration and increasing pain when swallowing. Against this background, a whitish or yellowish coating appears in the throat. Pharyngomycosis is more severe than other inflammatory diseases of the pharynx. The cause of the pathology is more often yeast-like fungi Candida, and in 5% of cases - mold Geotrichum, Aspergillus, Penicillium.

Tonsillitis

Candidal tonsillitis is more suitable for the term "fungal tonsillitis", since with it the inflammatory process affects only the tonsils. Otherwise, this type of tonsillitis is called tonsillomycosis. The disease is manifested by mild pain when swallowing, a tingling sensation in the throat, dry cough. All this is accompanied by general weakness, malaise and a slight increase in body temperature.

laryngomycosis

Fungal laryngitis, or laryngomycosis, is an inflammation of the larynx only. This form of the disease is very rare, but sometimes it does occur. Patients with a weakened immune system are more likely to develop it, including after a long course of antibiotics. Against the background of laryngomycosis, manifestations of thrush on other mucous membranes are often observed. Distinctive symptoms of pathology are:

severe itching in the throat;
cough with sputum in the form of films and crusts with a pungent odor;
hoarseness of voice.

What is the difference between candidal tonsillitis and bacterial

The external signs of candidal and bacterial tonsillitis are very similar, but there are some differences between the diseases. In the first case, the temperature rarely exceeds 37.7 degrees. Bacterial tonsillitis is always accompanied by hyperemia. Other differences between these forms of the disease:

Throat appearance. In the bacterial form, the abscesses are located only on the palatine tonsils, and the redness extends to the palatine arches and soft palate. Fungal plaque covers the entire surface of the pharynx.
Size, area of distribution and type of white plaque. With a fungal form, it has a curdled appearance, and with a bacterial one it is represented by abscesses. In the first case, the plaque is localized on the tongue, palate and tonsils, and in the second - only on the tonsils. After its removal, with fungal angina, bleeding wounds remain, and with bacterial mucosa, it simply turns red.
The severity of the course of the disease. Fungal angina is less severe than bacterial, sore throats are not so severe, and phlegmon is insignificant.
Presence of certain symptoms. Sore throat may be absent with tonsillomycosis. More often, only one tonsil becomes inflamed, which is not typical for the bacterial form, which is characterized by bilateral localization.

Causative agents of pharyngomycosis

A common causative agent of tonsillomycosis are yeast-like fungi of the genus Candida, more often Candida albicans. They are the cause of candidiasis, including thrush. Other causative agents of pharyngomycosis are fungi of the genus Aspergillus and Saccharomyces, which are found in people with diabetes. These microorganisms are part of the natural microflora of the mucous membrane of the pharynx and mouth in healthy people. Their number is controlled by the immune system. When it is weakened, microorganisms begin to multiply, which causes tonsillomycosis.

Flow features

The disease has several different forms, differing in the nature of local manifestations. There are 4 main types of tonsillomycosis:

erosive-ulcerative - superficial ulcers form on the epithelium of the pharynx;
pseudomembranous - fungal plaque on the tonsils in a child or adult extends to the sky, the back wall of the pharynx and the oral cavity;
hyperplastic - characterized by the presence of white hard-to-separate plaques;
catarrhal - manifested by bright hyperemia of the oral mucosa.

Causes of the disease

The main reason for the development of candidal tonsillitis is a strong weakening of the body. This may be due to a cold or viral disease, antibiotic therapy, dysbacteriosis. More often, tonsillomycosis develops in newborns who are just getting acquainted with pathogenic microflora. In general, the causes of candidal tonsillitis are:

hidden inflammation of the internal organs;
malnutrition;
oncological diseases;
endocrine disorders;
chronic pathologies of the nasopharynx or tonsils;
smoking;
long-term use of antidepressants;
avitaminosis;
SARS, influenza;
increased sugar content in saliva in diabetes mellitus;
weakening after a diet;
chronic candidiasis;

Characteristic symptoms

The main symptom of the disease is plaque, which can cover not only the tonsils, but also the entire surface of the pharynx, tonsils and the back wall. It has a whitish tint if the causative agent is candidal fungus, and greenish if moldy. Other characteristic symptoms of tonsillomycosis:

violation of taste perceptions;
unpleasant sour smell from the mouth;
weakness;
sensation of a coma in the throat, perspiration;
pain when swallowing;
an increase in regional lymph nodes in the neck;
a slight increase in temperature;
throbbing pain in the head;
red throat.

Fungus on the tonsils in a child

Tonsillomycosis in a child is accompanied by a pronounced intoxication of the body. It manifests itself with symptoms from the following list:

the child is not active, weakened;
the baby refuses to drink and eat;
there is an upset of the gastrointestinal tract in the form of abdominal pain, diarrhea, vomiting;
there is a white coating in the pharynx.

Signs of candidal tonsillitis in adults

Pathology has several characteristic symptoms by which it is easy to distinguish it from other forms of angina. The main ones are the following:

sore throat;
bad breath;
fever up to 37 degrees (rarely);
pain when swallowing;
slight swelling of the tonsils;
loose white cheesy coating on the tonsils.

Forms of the disease

The disease occurs in several forms, which differ in their characteristic symptoms and duration. There are two main types:

acute, which lasts no more than 1.5 months, and more often 7-20 days;
subacute, lasting for 3 months until complete resolution.

The acute form of pharyngomycosis is accompanied by sore throat and fever. This type of disease is more common in children. The subacute form is almost asymptomatic. This makes diagnosis difficult, especially in children under 1 year of age. Due to untimely treatment, the disease can take a chronic form, which manifests itself as exacerbations 2-3 times a year. Until etiotropic treatment is carried out, inflammatory processes will continue.

Diagnostics

An otolaryngologist can diagnose fungal tonsillitis already during the initial visual examination. The doctor clarifies the prescription of the onset of symptoms, learns about the recent use of antibiotics and the presence of chronic ailments. An accurate diagnosis is made after several studies:

A throat swab is taken for bacteriological examination. Cultures help identify the presence of a fungus in the throat.
Cultural research. It consists in determining the type of fungus and the sensitivity of the pathogen to specific drugs.
General blood analysis. It helps to confirm the presence of inflammation in the body. If bacterial markers do not increase, then sore throat has a fungal form.

Differential research methods

In more complex cases, the polymerase chain reaction (PCR) technique is used. It helps to distinguish candidal tonsillitis from diseases such as:

purulent streptococcal tonsillitis;
chronic streptococcal tonsillitis;
scarlet fever;
herpes stomatitis;
diphtheria;
syphilis;
Infectious mononucleosis.

How to treat fungal angina

Therapy against fungal angina begins with the elimination of the cause of the disease. This often requires the abolition of antibacterial drugs and the restoration of the intestinal microflora. In this case, a special diet with fermented milk products, fruits, fresh vegetables and protein foods helps. Treatment includes taking medications:

antimycotics that inhibit the activity of fungi;
immunostimulants that increase the protective function of the body;
antiseptics that disinfect the pharyngeal mucosa;
antipyretics that lower the temperature;
vitamins for general strengthening therapy that compensates for the lack of substances.

Elimination of the causes of candidiasis

If the cause of the disease was the intake of antibacterial drugs, then the course of treatment with them must be canceled. The same goes for hormonal drugs. To eliminate other causes of candidal sore throat, do the following:

limit smoking or stop smoking altogether;
remove sweets from the diet;
brush your teeth twice a day, rinse your mouth with water after eating;
cure a runny nose to stop breathing through the mouth;
provide the child with peace so that he cries less;
interrupt a diet that restricts the intake of protein and vitamins;
ensure indoor air humidity of 50-60%;
take steps to boost your immune system.

Local therapy

Local treatment is used to eliminate foci of inflammation. It consists in irrigating the throat with antimycotic and antimicrobial agents. Effective drugs are based on the following substances:

Clotrimazole. This group of drugs includes Candibene, Candide and Canison. These are powerful fungicidal drugs that penetrate the fungal body and inhibit its development.
Terbinafine. Solutions based on this substance have fungicidal and fungistatic properties. They not only kill the fungus, but also prevent its occurrence in the future. This group of drugs includes Lamican, Termikon, Lamitel.
Natamycin. The agent on this active ingredient is represented by a cream powder. The drug has a broad antifungal effect.

Nystatin

Just drinking Nystatin tablets with angina makes no sense. The drug will not be able to act on the pathogen, because its active substance is not absorbed into the blood. Nystatin is used differently - the tablets are chewed and held in the mouth for 2-3 minutes. This can be difficult because of the desire to swallow gruel. Doctors advise another way - to rub it into the lesions. It is more convenient to use Nystatin suspensions based on baby powder. The solution can be used to gargle. Such methods do not have advantages over topical preparations that are specifically designed for the treatment of angina.

Systemic antifungals

It is not recommended to use systemic drugs immediately after diagnosis. They are the second line of choice. Their appointment is relevant when the doctor does not know the specific pathogen, and the patient's condition is severe. In this case, preparations of the broadest possible spectrum of action are used before culture studies. Fungal angina is treated with the following modern antifungal agents:

Means based on Fluconazole - Diflucan, Mikomax, Diflazon. These drugs are standard in the treatment of pharyngomycosis. The drug Fluconazole is used first. If it is ineffective, the drug is replaced by the next on the list. Intravenous administration of the drug is indicated in severe cases of tonsillomycosis.
Means based on Itraconazole - Orunit, Orungal, Rumikoz, Irunin. They act on molds and fungi of the genus Candida. The maximum bioavailability of drugs is achieved when they are taken immediately after a meal.
Preparations based on ketoconazole - Nizoral, Fungistab, Mycozoral, Oronazole. Used for candidiasis of the pharynx. Possess fungicidal and fungistatic action.
Means with terbinafine - Terbinafine, Medofloran, Lamisil, Exifin. Like preparations based on itraconazole, they are effective against mold fungi.

Symptomatic treatment of candidal tonsillitis

If, in addition to plaque, fungal tonsillitis is accompanied by other severe symptoms, then symptomatic treatment is prescribed. It is as follows:

taking Paracetamol, Eferalgan, Nurofen or Nise in case of temperature rise above 38 degrees and severe sore throat;
gargling with infusions of chamomile, sage and calendula, soda or saline;
rinsing the throat with warm liquid to remove the cheesy plaque.

Folk remedies

Against the background of drug therapy, you can use effective folk recipes against the fungus. This pathogen does not tolerate an acidic environment, therefore, to suppress it, it is recommended to gargle with a solution of apple cider vinegar. This must be done before meals in order to avoid swallowing plaque and after a meal, so that the solution shows its healing properties on the surface of the mucosa. After rinsing, you can lubricate the tonsils with a solution of brilliant green, blue, Lugol or Chlorophyllipt. Other effective folk remedies for the treatment of candidal sore throat:

inhalations with eucalyptus or fir oil;
drinking lemon juice with honey diluted in water;
the use of fresh garlic and onions;
herbal medicine with drinking decoctions of calendula, chamomile, sage and celandine.

Video

Fungal angina - what is it?

There are three subspecies of candidal inflammation of the oropharynx:

Fungal tonsillitis - defeat of the palatine tonsils;
Pharyngomycosis - damage to the mucous membrane of the pharynx;
Tonsillopharyngitis - simultaneous damage to the pharynx and tonsils.

causative agents of infection

The key reason for the decrease in the body's resistance to pathogens is dysbacteriosis. The causes of the development of a fungal disease in a child can be endogenous and exogenous:

irrational nutrition;
abuse of antibiotics;
chronic ENT diseases;
hypovitaminosis and anemia;
diabetes;
chronic fatigue;
taking corticosteroids.

Important! Candidal tonsillitis can cause the development of acute lymphadenitis, which is treated exclusively with antibacterial drugs.

Clinical picture

Fungal angina is characterized by mild intoxication of the body, so the general symptoms of the disease are mild. These include:

minor headaches;
throat discomfort;
weakness and drowsiness;
subfebrile fever.

Important! White plaque signals the development of yeast-like, and green or yellowish - mold fungi.

The specifics of the course of the disease

The subacute form of the disease is almost asymptomatic, which prevents the diagnosis and treatment of pharyngomycosis in children under the age of 1 year. Untimely destruction of fungal pathogens leads to chronicity of inflammatory processes. Chronic candidal tonsillitis practically does not manifest itself in any way, but exacerbations can occur approximately 2-3 times a year, characterized by typical manifestations of pharyngomycosis.

Inflammatory processes in the body will continue until etiotropic treatment is carried out.

Differential Diagnosis

Differential diagnosis of pharyngomycosis is carried out with such pathologies as:

streptococcal tonsillitis;
scarlet fever;
syphilis;
herpes stomatitis;
bacterial mononucleosis.

In the presence of mixed flora in the foci of inflammation, the specialist conducts the Femoflor-Screen test, which allows you to determine the causative agent of the infection with 100% probability.

Principles of treatment

Antimycotic therapy

In pediatric therapy for the treatment of pharyngomycosis, the following antimycotics are used:

"Fluconazole" - a drug with a fungistatic effect; inhibits the production of fungal sterols, which prevents the further development of pathogens;
Levorin is a low-toxic agent that destroys yeast-like fungus and protozoa such as Trichomonas vaginalis; the components of the drug do not accumulate in the body, which prevents the occurrence of adverse reactions;
"Nystatin" - an antimycotic fungicidal action that destroys aspergillus, yeast-like fungi and protozoa; It is used to eliminate candidal inflammation not only in the oral cavity, but also in the gastrointestinal tract.

Drug abuse can cause vomiting, diarrhea, chills, and abdominal pain.

Local treatment

Candida tonsillitis is easily treatable only at an early stage of pathology development.

Effective immunostimulants

Among the effective immunostimulants include:

"Amixin";
"Derinat";
"Immunal";
"Milif";
"Ribomunil";
"Betaferon".

The infectious disease in which the entire pharyngeal ring occurs is called fungal tonsillitis. Inflammatory disease is typical for children, persons with a suppressed immune system. Inflammation of the pharyngeal ring occurs due to infection with streptococci or staphylococci, viruses or microorganisms, and other mycoses.

Angina

Tonsillitis or tonsillitis (simplified name), is characterized by inflammation of the palatine tonsils. Visual examination allows the naked eye to see whitish or yellowish dots of various sizes throughout the tonsil. These are inflamed abscesses formed by spores of a fungus, virus or pathogenic microorganisms.
Symptoms of fungal angina:

headache;
sore throat and sore throat;
temperature increase up to 40 degrees;
chills, fever, increased sweating;
swollen lymph nodes, tonsils;
persistent sore throat;
yellowish white coating on tonsils.

Symptoms depend on the form and severity of the disease.

Forms of angina

The most common forms of the disease are catarrhal, follicular, lacunar, fibrinous, phlegmonous, fungal.
The form of the disease depends on the severity of the infection, the pathogen.

catarrhal

This type of tonsillitis is the easiest.

tonsils are enlarged;
dry tongue;
sore throat;
plaque on the tonsils from purulent exudate;
body temperature 37.1-38 degrees;
lymph nodes are enlarged regionally.

The disease disappears after 3-5 days from the moment of infection.

Follicular

temperature increased to 39 degrees;
severe sore throat;
general weakness;
muscle and joint pain;
fever, chills;
lymph nodes are enlarged;
numerous purulent points are visible on the tonsils.

The disease lasts 5-7 days.

Lacunar

Leaks:

with an increase in temperature up to 40 degrees;
severe sore throat;
severe muscle and joint pain;
drowsiness with increased weakness;
sleep is interrupted due to sharp pains in the throat.

Temperature and symptoms stay for 5-6 days. After the maturation of purulent bags and the release of exudate, the state of health improves. The temperature drops to 37. The duration of the disease is 5-8 days.

fibrinous

Angina occurs with complications in the form of fever, a general plaque on the tissues of the laryngeal ring, consisting of purulent mucus.
It is noted:

fever, chills;
vomit;
diarrhea;
sometimes with signs of brain damage.

Phlegmonous

Unilateral inflammation of the tonsils with enlargement of the lymph nodes, fever up to 40 degrees.
Inflammation occurs:

with vomiting;
diarrhea
headache;
sore throat.

fungal

Inflammation of the mucous membrane of the larynx, cheeks, tongue.
Symptoms are mild:

temperature up to 37.5 degrees;
sore throat minor when swallowing;
on the oral mucosa there is a plaque of a white film;
an infected person feels unwell, weak.

Symptoms of the disease

Symptoms of fungal angina in adults they appear as:

total weakness;
fatigue;
minor sore throat;
plaque on the mucous membranes of the oral cavity and tongue;
change in taste sensations.

Symptoms are extremely weak, therefore, often, the treatment of fungal tonsillitis is not started in time.

In children, especially infants, the symptoms of fungal tonsillitis can be detected at the onset of the disease.
Symptoms of fungal tonsillitis in children:

the child shows irritability during feeding;
the mouth and tongue are covered with a whitish coating.

When breastfeeding, there is a risk of infection of the mother, in this case, the infection is difficult to cure, due to the transfer of infection from the child to the mother - and vice versa.

Treatment of fungal tonsillitis in infants should be carried out by interrupting breastfeeding, at the same time conducting a course of treatment for the mother and child.