How to treat fungal tonsillitis. Fungal angina and its treatment. Possible complications than the disease is dangerous

Candida tonsillitis or tonsillitis is an infectious inflammatory disease, which is provoked by yeast-like fungi in combination with other pathogens (mainly with pathological cocci). It predominantly affects the palatine tonsils and is accompanied by many unpleasant symptoms. fungal form angina is often found both among the adult population and among children.

The fungus of the genus Candida in small quantities is always present on the surface of the skin and mucous membranes. At healthy person the activity of this microorganism is inhibited immune system. It prevents its reproduction, leading to the development of fungal tonsillitis or other diseases. The appearance of this problem may be due to the following adverse factors:

malfunctioning immune system. The fungal form of angina can appear in newborns, the elderly, who have significantly reduced protective functions of the body. Strong suppression of immunity is also observed in the presence of many diseases - diabetes, HIV infection and others;
the presence of concomitant infectious diseases- influenza, SARS. Also, candidal tonsillitis can appear with bacterial damage to other organs, with chronic inflammatory processes of the oral mucosa, pharynx, tonsils;

long and wrong treatment antibiotics, corticosteroids which leads to a violation of the natural microflora on the mucous membranes;
compliance strict diets with a large calorie deficit and with the intake of the same type of food;
treatment of oncological diseases with the use of radiation or chemotherapy;
alcohol abuse or smoking.

Symptoms of a fungal sore throat

Fungal angina in children and adults it manifests itself with the same symptoms:

the appearance of pain in the throat, which intensifies during swallowing, eating;
a characteristic symptom of fungal tonsillitis is the absence elevated temperature, which is characteristic of ordinary tonsillitis;
a white or yellow-white coating appears, which is localized mainly on the tonsils. With the progression of the disease, it can spread to the throat, soft and solid sky, palatine darlings;

when trying to remove plaque with a fungal form of angina, it is clear that an inflamed mucous membrane remains under it. It acquires a red color, has a glossy sheen;
a patient with angina usually complains of a change in taste sensations;
there is weakness in the body, general malaise, headache;
a patient with angina has an unpleasant, sour smell;
regional lymph nodes increase slightly, but there is no pain on palpation.

Possible complications in the presence of angina of fungal origin

Usually spicy fungal tonsillitis lasts no longer than 7-10 days. If not treated during this time, the infection can spread to the esophagus and other parts of the body. It also often develops chronic tonsillitis accompanied by periods of exacerbations and remissions.

This course of the disease leads to serious consequences, since damage to the heart muscle, kidneys, liver and other organs can occur. Sometimes, against the background of a sore throat of a fungal nature, rheumatism develops, cervical lymphadenitis, inflammation of the middle ear, etc. pathological conditions. In particular severe cases bleeding appears on the surface of the tonsils, the larynx swells. The risk of abscess, phlegmon also greatly increases.

In children, this type of sore throat is almost always accompanied by a general deterioration in well-being, poor appetite, irritability tearfulness. If the disease has affected the baby, he may completely refuse to eat. In this case, there is a repeated risk of infection of the child, since the fungi very quickly affect the mammary glands. If a woman notices redness, peeling on the nipple, feels pain and itching, it is necessary to consult a doctor. These symptoms may indicate the development of candidiasis, which struck skin covering mammary glands.

Methods for diagnosing angina

The fungal nature of angina can be suspected on the basis of the patient's complaints and after examining the pharynx. With pharyngoscopy, the doctor will see a characteristic plaque on the tonsils, which also often extends to other parts of the mucous membrane in the mouth. To confirm the fungal origin of angina, a smear is taken for bacteriological culture. With the help of this diagnostic procedure establishes the type of pathogen that led to the development this disease.

In some cases, the doctor, if you suspect a sore throat, may prescribe additional tests, to find out general state body of a sick person. For example, a blood test, urine test, etc. may be performed.

Treatment of angina of fungal origin

Treatment of fungal angina is carried out in a special way, which is very different from its other types. First of all, antibiotics that could be used earlier during the treatment of other diseases are canceled.

In this case, to prevent the development of candidiasis when taking antibacterial drugs the doctor should prescribe Nystatin or Fluconazole. A small or prophylactic dose is enough to prevent the active reproduction of fungi on the mucous membranes.

drugs with antifungal activity. These include Levorin, Quinozol, Nystatin and others. Usually the course of treatment for fungal angina is 2 weeks;
antiseptics local action. In the presence of angina, it is recommended to irrigate the throat with Quinozol, Iodinol solution, Povidone-iodine. It is also important to lubricate the affected areas with preparations with a similar method of action - Lugol, Chlorophyllipt solution, methylene blue and others;

drugs with an immunostimulating effect, which allow the body to independently fight all pathogenic microorganisms;
vitamin and mineral complexes that produce a tonic effect in the presence of fungal tonsillitis;
physiotherapy procedures. To destroy yeast-like fungi, the tonsils and throat are exposed to ultraviolet light.

Alternative treatment of the fungal form of angina

To quickly get rid of angina and prevent the development dangerous complications it is recommended to use the following tools:

soda solution. After processing problem areas creates alkaline environment which is detrimental to yeast-like fungi. To prepare a solution in a liter of warm boiled water should be dissolved 1 tbsp. l. soda. With this remedy, they wipe problem areas or simply gargle 3-5 times a day for several days, until the symptoms of fungal tonsillitis completely disappear;
vinegar solution. When exposed to the mucous membrane, it creates an environment that is unfavorable for the vital activity of yeast-like fungi. For cooking remedy per liter clean water should add 2 tbsp. l. apple cider vinegar. This solution is usually gargled up to 5 times a day;

decoction of calendula. To prepare the medicine, you should brew a tablespoon of the flowers of this plant in a glass of water. The resulting broth is cooled, filtered, and used for rinsing. It has an anti-inflammatory, healing and antiseptic effect and quickly relieves purulent tonsillitis;
decoctions from other medicinal herbs. Chamomile, succession, St. John's wort, pine needles. Decoctions of these herbs are prepared similarly to the previous recipe. They are used to gargle throughout the day until all unpleasant symptoms sore throats;

honey. It must be dissolved in warm water, add a few drops of lemon juice. It is recommended to gargle with this remedy several times a day to eliminate pain and get rid of purulent tonsillitis;
alcohol tincture of propolis. It must be diluted with water at the rate of 1 tsp. therapeutic agent per 100 ml of water. Propolis helps to get rid of the inflammatory process, accelerates the healing of damaged mucous membranes, inhibits the activity of yeast-like fungi;

aloe juice. Before use, it is recommended to dilute it with water in a ratio of 1: 1. Gargle with this remedy for a week 3 times a day;
oily extracts (essential oils). They can be used for inhalation or make a solution for rinsing (3-4 drops per glass of water). Fir oil has an antiseptic effect, tea tree, eucalyptus.

Prevention of angina of fungal origin

To prevent the occurrence of fungal angina, you should follow these recommendations:

you need to remember about a balanced diet, eat food that is rich in vitamins and minerals. positive action have on the body dairy products;
at the time of the onset of symptoms of fungal tonsillitis, individual cutlery and dishes should be used. This will prevent infection of other family members;
during the period of exacerbation of a fungal infection, it is recommended to completely abandon sweet and starchy foods. With the retreat of the disease, the use of these products should be minimized;
timely treatment of infectious diseases of any localization helps to prevent weakening of the immune system, which leads to increased activity yeast-like fungi.

Usually a sore throat of fungal origin does not pose a danger to a person, especially if he fulfills all the doctor's prescriptions and does not forget about prevention.

Fungal angina is a disease provoked by pathogenic bacteria fungal nature. Fungal tonsillitis is caused by the yeast-like fungus Candida albicans. In most cases, it affects the palatine tonsils, as well as the back wall of the nasopharynx. Revealing symptoms require special medical process. Therefore, it is necessary to know the first symptoms of the manifestation of the disease and familiarize yourself with the methods of treatment.

Causes of infection

More often, the defeat of fungal angina is observed in adults. There are certain categories of patients most susceptible to the onset of the disease:

People who wear dentures for a long time;
Newborns who do not have a sufficiently developed immune system;
Patients with diagnosed diseases in oral cavity;
Patients with concomitant bad habits;
HIV-infected;
People seeking to fix own weight adhering to different diets and fasting practices.

In most cases, the disease is accompanied by stomatitis, glossitis, gingivitis or cheilitis.

Fungal tonsillitis is characterized by the absence of infection, although in medicine given inflammation considered to be infectious.

In the oral cavity in the normal state, in addition to beneficial bacteria, there are always opportunistic pathogens. At high protective function organism, they are in the optimal amount, not exceeding the permissible norms.

As a result of the effect on the body adverse conditions or factors, the growth of the number of fungal microorganisms immediately increases. This process generates the development of this disease.

There are the following causes of angina, leading to the development of a painful process:

Hypo- or avitominosis, developing against the background of improper intake of food;
Treatment for a long period with antibiotic drugs, corticosteroids, immunosuppressants;
metabolic and endocrine diseases(diabetes);
Decreased local immunity when drinking alcohol in an uncontrolled amount and love for tobacco products;
Immunosuppressive treatment for the treatment of autoimmune diseases, as well as in transplantation internal organs;
acquired immunodeficiency syndrome;
Education malignant tumors(oncological diseases).

You can get fungal tonsillitis anywhere. The disease tends to spread through contact way, as well as with significant hypothermia, not only of the limbs, but of the whole body. In addition, fungal spores can be found on food. Eating contaminated food leads to infection of the patient.

Clinical manifestation

Candidal tonsillitis tends to occur both in the form acute inflammation with the symptoms inherent in this disease, and without certain symptoms illness. In most cases, fungal tonsillitis does not reveal specific symptoms. Rarely, with the development of the disease, there is an increased body temperature or pain in the throat. The patient feels slight perspiration and pain when swallowing, as well as minor discomfort in the oral cavity.

If the patient's immunity is significantly reduced, then it can manifest itself as weakness, lethargy, disability, rapid emergence fatigue. There is occasional headache.

Such symptoms are caused by manifested intoxication of the body. In rare situations, lymph nodes may increase in diameter. But when touched, pain is not called.

General symptoms associated acute tonsillitis are not observed, but fungal tonsillitis, reveals specific signs:

The throat becomes reddish;
The palatine tonsils and the back wall of the larynx are covered with a whitish or whitish coating with a yellowish tinge, resembling a curd mass;
Unpleasant, fetid odor and oral cavity;
Violation of taste perception;
Feeling of dryness in the mouth and on the tongue;

In most cases, fungal angina does not show symptoms and is treated at home. When the first signs appear, it is recommended to consult your doctor for advice and diagnosis. Starting the inflammatory process is not worth it because possible development unpleasant consequences and attachment of an additional disease.

Fungal tonsillitis in adults

The cause of the formation of a serious illness is the imperfection of local immunity. Revealed symptoms and treatment are diagnosed only by a doctor. Proper treatment helps prompt elimination signs of a fungal infection.

Often, fungal tonsillitis occurs without acute inflammation. All symptoms are detected visually during examination. Candidal tonsillitis is determined by redness in the larynx, as well as a whitish coating on the tonsils, insides of the cheeks and tongue.

When plaque is removed, a deep reddish depression remains on the surface, from which neither mucus nor blood flows.

Diagnostics

When contacting a doctor, the doctor conducts an initial history taking. Finds out when the first signs appeared, asks the patient about the symptoms that disturb him. Only after a full survey proceeds to a visual inspection.

When symptoms of candidal tonsillitis are detected, the doctor performs palpation lymph nodes, examines the oral cavity, pharynx.

Taking a smear for bacteriological culture to identify the causative agent of the disease;
General analysis of blood and urine;
Diagnostic puncture;
Skin tests with the detection of an allergen fungus.

In most cases, setting proper treatment occurs on the basis of microscopic examination and the identification of antibiotics that will be effective against the causative agent of the disease.

Treatment Methods

Treatment of fungal angina has peculiar differences in therapy. First of all, it is necessary to identify the factors that caused the inflammatory process. Only after eliminating the cause of angina can the symptoms of the disease be eliminated.

So, if candidal tonsillitis was caused long-term use drugs of an antibiotic nature, then until the patient stops administering medications, the treatment of candidal tonsillitis will be ineffective.

Medical impact

Therapy should be started as soon as symptoms appear. Self-medication is strictly prohibited. Allocate following methods treatment of fungal angina:

The initial effect is through the introduction of antifungal medicinal medicines- Nystatin, Fluconazole, Levorin, Clotrimazole, Terbinafine, Miconazole;
For local application Hexoral, Tantum Verde, Givalex, Decatilen, Miramistin are recommended;
If necessary, you can use ultraviolet or throat irradiation - it gives positive results in the treatment;
It is recommended to rinse the larynx and mouth with antiseptic solutions such as Miramistin, Chlorhexidine, Furacilin;
It is possible to apply lubrication palatine tonsils or act by irrigating with Lugol's solution, the consistency of silver nitrate, Quinozol;
Carry out correction of the immune system with the help of the introduction of vitamin therapy;

Fungal angina requires a special approach. If this disease does not respond to therapeutic effects, the doctor may prescribe the introduction of immunomodulatory drugs (Echinacea tincture). Unless necessary, immunomodulators are forbidden to use on their own.

All dosages and treatment are carried out personally by a doctor. Recommendations of a certain drug are made at the insistence of the doctor on the basis of the identified diagnosis, the degree and severity of the inflammatory process. In addition, when appointing optimal dose for therapy is taken into account age category and body weight of the patient.

ethnoscience

For the treatment of fungal angina, it is carried out not only with medicines, but also with medicinal herbs. Heal completely with traditional medicine problematic enough. But if you administer treatments like helper methods, that is, the ability to quickly eliminate fungal tonsillitis.

First of all, the effect of medicinal herbs is carried out by rinsing the mouth and lubricating the tonsils with solutions and infusions.

There are effective ways to treat a fungal infection by traditional medicine:

Rinsing the mouth with a weak solution baking soda(0.5 tbsp per 1 tbsp warm water). The alkali produced by soda, but on the mucous membranes of the mouth, has a positive effect on fungal formations, blocking the increase in their numbers;
Tea tree oil - used as an inhalation, as well as for washing the throat. The substance acts as an antiseptic, suppressing the microflora of candidal tonsillitis;
When rinsing, you can use Kalanchoe infusions, pine buds or chamomile officinalis. Plants in a dry or fresh plucked form are subject to brewing in boiling water. The infusion should be kept in a sealed container for 2 hours. Recommended folk treatment apply at least 3 times a day. The main thing is to prepare a fresh infusion daily;
garlic cloves - has antiseptic property, and also acts as an immunomodulatory ingredient. With identified diseases of the throat, symptoms, treatment, prevention is carried out by chewing garlic up to 3 times a day.
Due to the fact that the fungal type of tonsillitis is a sign of a reduced protective function of the body, Special attention focus on food and health. It is important to include in the diet a large amount of fermented milk products, such as kefir, yogurt. When buying, it is recommended to give preference to quickly perishable products.

In addition, to increase local immunity, you should eat more fresh fruits and green vegetables. The latter contain a high content of fiber, which contributes to quick recovery body from fungal infections.

Thus, in order to quickly eliminate fungal plaque, you should use not only medical preparations, but also apply infusions of medicinal herbs. The healing process occurs by increasing local immunity in all possible ways.

Preventive measures

To prevent the occurrence of such an unpleasant and dangerous disease, it is recommended to perform certain rules prevention:

Take precautions and do not use other people's hygiene products and personal belongings - a towel, toothbrush, lipstick;
Eat right - enrich your diet with protein, carbohydrates and fats;
If dysbacteriosis is detected, it must be completely cured;
When prescribing antibiotics, do not increase the dosage and frequency of administration;
Boost your immunity with physical activity, harden, as well as the distribution of hours of rest and active work;

To prevent the occurrence of chronic tonsillomycosis, you should follow the doctor's recommendations for the treatment of this disease. The main thing is to protect yourself from possible infection by applying personal hygiene and taking care of your own diet.

Thus, therapy for fungal tonsillitis in adults is required specific methods, using not only drugs, but also alternative treatment. Fungal plaque is easily eliminated by rinsing and lubricating the mucous membranes in the mouth. To block candidal tonsillitis, exposure should be carried out in the early stages of the disease.

Fungal angina refers to an infectious and inflammatory disease that is caused by yeast fungi from the Candida family. Basically, the disease affects the palatine tonsils, which leads to reddening of the throat and the formation of a white coating.

Fungal tonsillitis is caused by tonsillomycosis. This type of microbe belongs to a yeast or putrefactive fungus from the Candida family. Often in medicine, the disease has a second name - candidal tonsillitis.

Basically, fungal tonsillitis manifests itself as a result of weakening immune function after suffering colds or viral diseases. It is also customary to refer to the reasons for the development of candidal tonsillitis.

Weakness of the body after a diet.
Lack of vitamins and minerals.
Diseases of the oral or nasal cavity of a chronic nature.
Availability hidden infections in the internal organs.
Unbalanced nutrition.
Availability bad habits in the form of smoking and alcohol consumption.
Disruptions in the endocrine system.
long reception antibacterial agents or antidepressants.
The presence of cancer.

According to statistics, candidal tonsillitis often occurs in young children. Many cases have been recorded when tonsillitis manifested itself in the first year of life. This process is associated with acquaintance child's body with pathogenic flora. The main causes of the disease include the consequences after thrush or intestinal dysbacteriosis.

Fungal tonsillitis is also diagnosed in people who have the following problems.

HIV infection.
chronic candidiasis.
Having an antisocial lifestyle.
The use of dentures.
Conducting radiation therapy or chemotherapy.

Symptoms of fungal angina

Many specialists can distinguish fungal tonsillitis from other types of the disease by the plaque formed in the oral cavity. To all this, small rashes appear in the sky area. Candidiasis angina is also characterized by the formation of a whitish milk plaque. If the fungi belong to the mold group, then the plaque will have a greenish tint.

If the patient has manifested fungal tonsillitis, the symptoms will be as follows.

Unpleasant sour smell from the mouth.
Pain during swallowing.
and perspiration.
General weakness of the body.
Violation of taste perception.
Enlarged lymph nodes in the cervical region.

The acute form of the disease with fungal angina lasts from seven to ten days. At this time, the patient may be accompanied by the following symptoms.

Temperature rise.
Loss of appetite.
Deterioration of the general condition of the body.

When the patient self-medicates or the therapy was chosen incorrectly, the disease acquires chronic. It is characterized by a regular change from complete rest to a state of sharp relapse.

If the disease occurs in infancy as a result of thrush, then the baby becomes restless, refuses to eat and drink. Also observed bad dream. During breastfeeding, the fungus is transmitted from mother to baby. The mother may experience discomfort in the form of peeling on the mammary glands, itching and redness.

Possible complications after fungal tonsillitis

Angina fungal with severely weakened immune function can go into chronic type. The exciter goes through lymphatic system and begins to multiply in the tissues of internal organs. This condition is especially dangerous for the heart and kidneys. With a neglected form, the functioning of the liver is disrupted and a rheumatic change occurs in the articular tissues.

Fungal angina in children can lead to the following complications.

Otitis.
Meningitis.
Myocarditis.
Pyelonephritis.
Pneumonia.
Bronchitis.

In the absence of antimycotic drugs in the treatment, inflammation of the appendix, abscesses may occur. different nature and cervical lymphadenitis.

Diagnosis of fungal angina

Before you begin to treat the disease, it is necessary to make an accurate diagnosis. To do this, you need to seek help from a doctor. He will examine the oral cavity, where the formation of a whitish plaque in the area of \u200b\u200bthe tonsils and tongue will be visible. After that, the patient is prescribed an examination, which includes.

Taking a smear bacterial culture. This method will help to identify. For detection, a smear of plaque is taken from the patient's oral cavity.
Microscopic examination.
Take skin tests for fungal irritants.
General blood test.

After the examination, the doctor prescribes treatment therapy.

The process of treating fungal angina

If a patient has fungal tonsillitis, treatment includes several measures.

Uses antifungal drugs. This includes the application antifungal agents in the form of Nistanin and Levorin. Nystanin absorbable tablets and gargling with antimycotic solutions are also prescribed.
Treatments antiseptics. These medicines will help to quickly and effectively remove all the symptoms of fungal sore throat. They are referred to.
Spray Geksoral. One of the best means which is often prescribed by doctors. Approved for use in children from four years of age.
Miramistin solution. It is prescribed for irrigation of the throat. With active use, it relieves discomfort. Approved for use during gestation and in infants.
Apple cider vinegar solution. Excellent folk remedy that fights fungus. Recommended for use by children over ten years of age and adults.
Gargling and applying compresses. Adults with angina are recommended to apply alcohol compresses for at least one hour. Children from five years old can make compresses from vegetables. You need to do them up to two times a day. Also recommended to patients. Use soda or saline solution do not advise, as they change the microflora in the oral cavity, which leads to even greater reproduction of bacteria.
The use of antipyretics. It is necessary to take these funds when the temperature rises above 38 degrees. Adults can use Aspirin or Ibuklin. And for children they produce Paracetamol or Ibuprofen in the form of syrups and suppositories.
Compliance with the special regime. If angina occurs, the patient must comply with bed rest. Stay at home for four to five days. It is very important to drink plenty of fluids, but it should not contain sugar. It is worth thinking about balanced diet. During illness, you need to eat a lot of fruits and vegetables, chicken meat and dairy products.

Features of the treatment of fungal tonsillitis in children

Often, fungal tonsillitis occurs in infants and children. preschool age. Therefore, the treatment of the disease should be under the strict supervision of a physician.
If fungal tonsillitis occurs in children, treatment includes several important measures.

Taking antihistamines. Very often, fungi lead to the manifestation of various allergic reactions in children. So doctors prescribe antihistamines in the form of Zodak, Tavegil, Suprastin.
Lubrication of the throat with antiseptic agents. Since children under three or four years old do not know how to gargle, parents need to clean their tonsils on their own. Solutions of Chlorhexidine, Miramistin or Furacilin will help with this. With help cotton swab or a disk soaked in a solution, a cleaning procedure is carried out. These manipulations will be unpleasant for the baby, but they need to be done at least three times a day.
Taking antipyretics. Dangerous state for the kid is the occurrence convulsive state. To avoid this, you should not wait for the temperature to drop by itself. At 38 degrees, it is already worth giving the child antipyretic drugs. These include Paracetamol, Ibuprofen, Panadol in syrup and Cefekon, Nurofen in suppositories.
Throat irrigation. For children under three years old, only Miramistin solution can be used. For children from four years old, Tantum Verde and Geksoral are prescribed.
The use of antimycotic agents. Do not neglect this item, since children quickly develop complications on the internal organs.
Collateral good food. Children are strictly forbidden to give sweets and bakery products. The diet should include chicken bouillon, vegetable puree, dairy products and warm milk. If the baby refuses to eat, then you do not need to force him. Then it is worth providing drinking regimen. Babies can be given to drink whatever they want: water, fruit drinks and homemade compotes.

Prevention of fungal angina

If the patient has been ill with fungal tonsillitis, then after recovery, attention should be paid to strengthening the immune function. To do this, you need not only to eat right, but also to take vitamin complexes. Also, for the health of children, it is necessary to adhere to several recommendations.

Spend a lot of time outside.
Wash hands and face with soap after walking.
Carry out hardening procedures and charging.
News active image life. The child can be given to the sports section and given more jumping and running.

Adults should give up bad habits. Be sure to monitor nutrition and condition digestive system. If dysbacteriosis is observed, then you need to take drugs that include pre- and probiotics.

The term "tonsillitis" is often popularly referred to as any sore throat, and if plaque is still found, then most of the inhabitants have no doubt that it is with bacterial infection deal with and begin self-treatment with antibiotics. After 2-3 days, the course of the disease can be significantly aggravated, the process will capture new areas of the pharyngeal mucosa, the general condition will worsen and cannot be coped with without a doctor in such a deplorable situation. Fungal tonsillitis belongs to the pathology group, when antibiotics are contraindicated, it requires a completely different therapy and therapeutic tactics.

The name of the disease is not very correct, since acute isolated inflammation of the palatine tonsils is called angina. In the process of fungal infection, not only accumulations of lymphoid tissue are involved, but also mucous membranes. soft palate, arches, tongue, oral cavity. More often, such a pathology is called pharyngomycosis.

Causes and factors contributing to the development of infection

Fungal tonsillitis is an inflammatory disease of the pharynx that occurs against the background of increased activity and the development of mold and yeast-like fungi. It is more common in children, but adults also get sick. The causative agents are: Candida Albicans, C. Krusei, C. Glabrata, C. Famata, Aspergillus, Geotrichum, Penicillium, Saccharomyces, Actinomycetes. Often combined with cheilitis, stomatitis, gingivitis and glossitis.

For this pathology, it is characteristic that the fungus is not infected, although the disease belongs to the category of infectious. In the oral cavity, intestines, on other mucous membranes of the body, a lot of useful and non-pathogenic microflora normally lives, which creates a certain microclimate in a particular area. Fungi can also enter into symbiosis with the corresponding microorganisms, cohabit with them without causing harm.

In some cases, when bacteriological homeostasis is disturbed, they begin to activate, multiply intensively, causing pathological changes on the mucous membrane, resulting in pharyngomycosis. As the disease progresses, bacterial flora can connect to the fungi, which will significantly aggravate the course of angina.

Causes causing active development fungi:

lowered immunity;
prolonged use of antibiotics;
the use of corticosteroids;
chronic disease of the tonsils;
chemotherapy;
avitaminosis;
the presence of dentures.

May develop against the background of diabetes mellitus, reduced function thyroid gland, hemoblastoses, oncological diseases, AIDS, malnutrition, accompany SARS or influenza, as well as in smokers, lovers of strong drinks and drug addicts.

If the patient has weakened immunity, then he belongs to the risk group for pharyngomycosis. If there are the first signs of the disease, it is necessary to consult a doctor to prevent the progression of the infection and the appearance of complications.

How does an insidious pathogen manifest itself

Symptoms of fungal angina can be varied, they are local and general. Local manifestations are as follows:

discomfort in the mouth, throat;
painful swallowing;
perspiration,;
dryness in the throat;
bad breath;
taste disorder;
snoring and difficulty breathing during sleep;
sometimes - a slight increase and soreness of the submandibular lymph nodes.

The process can be either unilateral or bilateral. It is characteristic that, unlike bacterial or, the patient does not have a pronounced pain syndrome in the throat. On the early stages fungal infection there may be no symptoms at all.

Common complaints - malaise, weakness, pain in the head, muscles. The temperature in most cases is subfebrile and does not rise above 38 ° C.

Features of the child's body

In children, the temperature is usually high with severe intoxication. The child is weakened, inactive, refuses to eat and drink, there may be disorders from gastrointestinal tract in the form of diarrhea, abdominal pain, nausea, vomiting. Small patients get sick more often and tolerate fungal tonsillitis worse because their immune system is not sufficiently formed and is easily susceptible to various infections.

What are the forms

According to the nature of local manifestations, 4 forms of fungal infection are distinguished:

pseudomembranous with the presence of raids on the surface of the tonsils, palate, oral cavity or rear wall pharynx;
catarrhal, characterized by bright hyperemia of the mucous membrane;
hyperplastic - with the presence of white hard-to-remove plaques;
erosive-ulcerative - the formation of superficial ulcers on the epithelium of the pharynx.

Picture with fungal angina

According to the nature of the course, its duration, the disease is classified:

Acute (up to 3 weeks).
Subacute (up to 3 months).
Chronic (exacerbations 3-5 times a year, clinical manifestations correspond to the picture of an acute fungal infection, and there are no complaints during the period of remission).

After adequate treatment the first two forms, recovery occurs, otherwise the disease becomes chronic with periodic exacerbations. Frequent exacerbations can lead to dysfunction of the heart, kidneys, liver and other organs. At untimely therapy the process can spread to other parts of the pharynx and esophagus, which is not typical for other forms of angina.

Pharyngoscopy picture and its features

The diagnosis can only be made after a doctor examines the oral cavity. The pharyngoscopic picture is such that the mucous membrane of the pharynx is bright red. The surface of the tonsils, sometimes the arches, the palate, the oral cavity is covered with a curdled coating. It appears 2-3 days after the onset of the disease. If its color is white, it is easily separated with a spatula, then most likely these are manifestations of candidal origin, it is also the cause of thrush. After removing plaque with fungal angina, ulcers with a bleeding surface can be seen.

Curd plaque with pharyngomycosis

In the case of yellow or green plaques, if they are difficult to remove, then this is similar to the activity of mold fungi. This picture is particularly reminiscent of dangerous disease diphtheria. Be sure to take a smear to exclude this pathology and determine the type of pathogen.

What not to confuse

In addition to diphtheria, the disease should be distinguished from diseases such as primary tonsillitis, Infectious mononucleosis, scarlet fever, syphilis.

For differential diagnosis, productions accurate diagnosis use microscopic examination. Take material from the surface of the mucous membrane of the pharynx, pharynx, tonsils. Treatment of fungal tonsillitis will depend on which pathogen is found.

Fungus control methods

Therapy begins with the elimination of dysbacteriosis and the causes that caused it. If the disease is caused by taking antibiotics or corticosteroid drugs, then they should be canceled or the dosage should be reduced.

Healing has a general and local character. Prescribe drugs both inside and directly on the painful area. Doses, medications are prescribed by the doctor individually and depend on the clinical manifestations, type of fungus, age, weight of the patient.

Treatment of fungal tonsillitis is complex, includes the use of antiseptic, antimycotic agents, as well as symptomatic therapy.

Of the antifungal often prescribed:

polyenes (Nystatin, Levorin, Amphotrericin B);
imidazoles (Ketoconazole, Clotrimazole, Miconazole);
triazoles (Fluconazole, Itraconazole);
allylamines (Terbinafine, Naftifine).

Be sure to appoint restorative means, immunocorrection, vitamin therapy.

From local treatment – Givalex, Hexoral, Miramistin, Tantum Verde, Decatilen. Positive results gives a course of ultraviolet irradiation of the throat.

You can use the recipes of traditional medicine. They can act as a complement to traditional methods therapy:

The fungus does not survive acidic environment, therefore at home it is desirable .
Well helps lemon juice with honey, diluted in warm boiled water.
Calendula, chamomile, celandine, sage - an excellent additional herbal medicine for fungal infections of the pharynx.
Inhalations with fir and eucalyptus oils.
Garlic and onion are also recommended. For children, their use is not desirable due to the fact that with this pathology they often suffer from the gastrointestinal tract.

Gargle should be done before and after eating or drinking. Before meals - in order to mechanically eliminate plaque from the surface of the tonsils in order to avoid ingestion of pathological contents during eating. And then - in order for the solution on the surface of the mucosa to carry out its healing effect. Then lubricate with an aqueous solution of blue, brilliant green, Iodinol, Chlorophyllipt, Lugol's solution.

If a child has farinomycosis, then a nursing mother should also undergo a course of therapy in order to avoid transmission of infection from the child to the mother and vice versa.

One of modern methods treatment of fungal infections - cauterization with surgical laser The patient's condition improves significantly after the procedure.

Based on the fact that this infection is not infected, there will be little effect in terms of prevention from wearing a mask, isolating the patient and providing him with individual care items.

To prevent fungal infection, it is necessary to establish a daily regimen, give sleep, rest enough time, eat well, exercise, get rid of bad habits. If a course of antibiotic therapy is prescribed, then it is advisable to prescribe Nystatin, Levorin, probiotics in prophylactic doses, and consume fermented milk products. If necessary, take fortifying drugs, vitamins, treat acute, chronic diseases and be sure to lead a healthy lifestyle.

If you suspect fungal tonsillitis, its first signs should immediately contact an ENT doctor. Do not self-medicate, as this can harm the patient, especially if the disease affects the child.

Fungal tonsillitis refers to infectious and inflammatory diseases of the oropharynx caused by yeast-like fungi Candida albicans or molds of the genus Aspergillus. You can often hear another name for this disease - fungal tonsillitis or candidal tonsillitis. In some cases, the disease is accompanied by both adults and children.

Causes of candidal tonsillitis

The microflora of a healthy person has several million bacteria, each of which plays a role important role for normal life. Yeast-like mushrooms genus Candida also in not in large numbers inhabit mucous membranes and skin. In people with a normally functioning immune system, they do not cause any problems.

The disease begins to develop when these fungi get out of control and become pathogenic, multiplying in large numbers. Most often this is caused by the following factors:

To make a diagnosis, the doctor needs to collect as much information as possible:

when the patient had the first symptoms of the disease;
the presence of chronic diseases;
Whether the patient has recently taken antibiotics.

All this is done to determine the root cause of the disease. After all, the treatment of fungal tonsillitis often depends on concomitant diseases the patient, as well as from those taken by him medicines. After full collection history, the doctor will prescribe studies:

a swab from the throat of the patient to determine the fungus-causative agent;
held biochemical analysis blood - to exclude the presence of bacterial carriers;
the pathogen is inoculated on a nutrient medium.

These measures will eliminate other diseases similar in symptoms to fungal tonsillitis, such as scarlet fever, diphtheria, herpes stomatitis. The doctor will be able to prescribe the correct treatment for the patient.

The course of fungal tonsillitis

The disease is classified by duration, I distinguish three forms of the course of candidal tonsillitis:

acute form of the disease - usually lasts from 7 to 20 days;
subacute form of the disease - can last up to 3 months;
chronic form of the disease - there are exacerbations from 3 to 5 times a year, there are no complaints during the remission period.

The acute form of fungal tonsillitis is most often observed in young children and is accompanied by sore throat.

Subacute is typical for adults, proceeds without severe symptoms rather mildly.

If these forms of angina are cured in time, the disease will not develop into a chronic form with frequent exacerbations that can negatively affect the vital activity of the patient's heart, kidneys and liver.

Therapy for candidal tonsillitis

An important part of the treatment inflammatory processes in the throat is to eliminate the causes of the disease. Depending on the specific case, the doctor may recommend the following measures to the patient:

refusal to take antibiotics - they cause a decrease in immunity in adults and children;
the patient should stop smoking if possible;
the patient is shown to remove sweets from the diet as much as possible;
strict adherence to oral hygiene - brush your teeth at least 2 times a day, rinse your mouth before and after eating;
the patient must stop observing all kinds of strict diets.

Treatment of fungal angina does not require compliance bed rest in adults and does not affect their ability to work. But it is better to leave sick children at home for the duration of therapy. Each patient is prescribed individual treatment, depending on age, weight, causes of the disease.

Treatment of fungal tonsillitis with medications

The doctor may prescribe antifungal drugs both inside and directly on the affected areas of the pharynx. Treatment of fungal tonsillitis usually includes a number of procedures:

Reception of antimycotic agents - suppress the vital activity of yeast-like fungi. Among them are the most famous: Fluconazole, Nystatin, Quinozol, Itraconazole.
Be sure to gargle, irrigate or lubricate antiseptic solutions, such as Miramistin, Chlorphilipt, Iodinol, Hexoral,.
It is possible to prescribe physiotherapeutic treatment, for example, irradiation of the throat with ultraviolet light.
The patient is recommended to use vitamin complexes and immunostimulating drugs: Ribomunil, Timalin, Bronchomunal, Interferon.

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After recovery, the patient is shown a course of probiotics, which will allow to form healthy microflora and prevent further recurrence of the disease.

Treatment of fungal tonsillitis with folk remedies

As an addition to the prescribed course of treatment, the patient can use traditional medicine recipes. Since fungi do not survive in an acidic environment, gargling with various means will be relevant:

a weak solution of apple cider vinegar;
lemon juice with honey diluted in warm water;
tea tree oil: a few drops in a glass of water;
herbal tinctures - with, calendula, celandine, sage, kalanchoe;
furatsilina solution;
: 1 teaspoon per glass of water.

Adults can chew 2-3 garlic cloves a day, as this plant has an excellent antiseptic effect. A good help in the treatment of oral candidiasis will be inhalations with essential oils tea tree, fir and eucalyptus oils.

At breastfeeding there is a mutual infection of the mother and child, so doctors recommend stopping it so that the disease does not become chronic. The disease is treated simultaneously in mother and baby.

Since not all drugs are suitable for small child treatment is carried out under the strict supervision of a doctor. Only a specialist can prescribe a course of therapy depending on the weight and age of the baby.

Children's drugs

Usually, for fungal tonsillitis, doctors prescribe Nystatin. The main recommendation for an older child is gargling with antiseptics:

Miramistin - has proven itself in the fight against candidal tonsillitis;
Chlorhexidine - known as a good antibacterial agent;
Decamethoxin - fights fungi and bacteria in the oral cavity;
Faringosept is one of the best antiseptics for the treatment of throat lesions;
Amylmetacresol - affects most known bacteria and fungi.

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Instructions for a speedy recovery of the child

One of the main points in the treatment of oral candidiasis in children is proper nutrition. Experts advise introducing more protein foods into the child’s menu, and eliminating foods with a high carbohydrate content, and limiting the consumption of sweets.

Doctors do not recommend salty and spicy food, as well as too hot and cold dishes that have a bad effect on the condition of the tonsils of the throat. It is very important to strengthen the immunity of the child, vitamins B, C and K will help with this. At the same time, it is advisable not only to choose the right vitamin complex, but also to introduce products with their content into the menu of children:

vitamin K - found in spinach leaves, Brussels sprouts and cauliflower, eggs, pork liver, dairy products;
vitamin B - present in rice, nuts, milk, fish, fruits;
vitamin C - found in citrus fruits, sorrel, strawberries, bell pepper, parsley, apples, gooseberries.

With regular use of these products, especially in winter time, you can prevent the child’s illness completely or eliminate it with minimal negative consequences.

Since the disease progresses against the background of weakened immunity, the patient should reconsider his diet. Practical Tips include the following aspects:

it is recommended to consume as many liquids as possible;
sweets should be abandoned, as this is an ideal environment for the life of fungi;
exclude from the diet products containing caffeine, soy and yeast ingredients;
it is important for the patient to include in the menu fresh vegetables and fruits;
follow a high protein diet.

It is very useful for children and adults to consume fermented milk products, drink fruit drinks, rosehip broth and tea with lemon, but only without sugar.

Prevention of fungal tonsillitis

Measures to prevent oral candidiasis are quite simple and generally include measures to healthy lifestyle life. Strengthening the immune system will help sports and hardening.

Experts recommend starting hardening with contrast shower. Jogging on fresh air and exercise in the cold season will help strengthen the body. The following measures will help reduce the risk of candidal tonsillitis:

personal hygiene - you can not use other people's lipsticks, toothbrushes;
must be complete and balanced diet for children and adults;
it is desirable to get rid of bad habits - smoking and drinking alcohol;
establish a daily routine - give enough time to sleep and rest;
physical education - recommended for children and adults;
hardening;
it is important to timely identify and treat foci of infections in the body of adults and children: caries, pustular skin lesions;
after consulting a doctor, take vitamin complexes in the off-season to strengthen immunity.

Forecast

The prognosis of fungal tonsillitis is relatively favorable. If the treatment is started in a timely manner and all the prescriptions of the ENT doctor are observed, then the disease will not turn into a chronic complication.

It is important to remember that the independent choice of drugs without exact definition the diagnosis can only delay the disease and yeast-like fungi will spread to neighboring organs.