ear, nose, and throat disorders
Tonsillopharyngitis
Symptoms and Signs of Tonsillopharyngitis
Pain with swallowing is the hallmark of tonsillopharyngitis and is often referred to the ears. Very young children who are not able to complain of sore throat often refuse to eat. High fever, malaise, headache, and GI upset are common, as are halitosis and a muffled voice. The tonsils are swollen and red and often have purulent exudates. Tender cervical lymphadenopathy may be present. Fever, adenopathy, palatal petechiae, and exudates are somewhat more common with GABHS than with viral tonsillopharyngitis, but there is much overlap. With GABHS, a scarlatiniform rash (scarlet fever) may be present. GABHS usually resolves within 7 days. Untreated GABHS may lead to local suppurative complications (eg, Peritonsillar Abscess and Cellulitis or 