How to Naturally Cure a Sore Throat in One Day
The most frequent reports of this type are trichomonads, normally assumed to be T. tenax, causing respiratory tract pathology (reviewed by Hersh, 1985) the same organism has been apparently found in the submaxillary gland and in children with chronic tonsillitis. Hiemstra et al. (1984) wondered whether T. vaginalis might cause pneumonia in newborn babies and unidentified species of trichomonad have been implicated in bronchitis and found in pleural fluid. In an interesting case of oesophageal
A dry, hacking cough and sore throat are common occurrences at high altitude. Among trekkers to Mount Everest base camp, 42 developed cough (half of these producing sputum) and 39 had sore throat (Murdoch, 1995a). Most cases probably do not have an infectious aetiology, but are the result of increased ventilation, breathing cold dry air, and increased cough receptor sensitivity. The cough may be severe enough to cause rib fractures. Sucking hard candies, breathing steam, and placing a silk balaclava or similar material across the nose and mouth may relieve symptoms.
Streptococcus pyogenes, group A haemolytic streptococci can invade various tissues of human skin and subcutaneous tissues, mucous membranes, blood and some deep tissues. The common clinical manifestations of streptococcal infection include streptococcal sore throat, erysipelas, scarlet fever and puerperal fever. Some strains produce an erythro-genic toxin which is responsible for the characteristic erythematous rash of scarlet fever. Rheumatic fever (see below) and acute glomerulonephritis result from allergic reactions to streptococcal infections.
These symptoms last for about 3 weeks. Sore throat occurs in over 80 of cases and is usually accompanied by anorexia and nausea. The sore throat develops in the first week and subsides in the second week, rarely generating severe symptoms or massive tonsillar pharyngeal oedema. Sharply defined, red spots at the junction of the soft and hard palates are of diagnostic value. Positive throat swabs for P-haemolytic streptococci are frequently found. Bilateral, non-inflammatory cervical lym-phadenopathy is almost invariable, and inguinal and axillary lymphadenopathy is usual. The spleen is palpable in more than one-half of cases, although only occasionally does it extend to the iliac crest. These secondary lymphoid organs increase in size in the first week and subside slowly after the second week. Slight hepatomegaly and jaundice occurs in about 10 of cases. Fever is present in most cases but of no characteristic type and may be transient. A few patients develop a fine macular...
The trend of PET CT scanners is perhaps best illustrated by a design in which a 16-slice CT scanner, the Sensation 16 (Siemens Medical Solutions, Forchheim, Germany) is combined with the recently-announced high-resolution, LSO PET scanner (CPS Innovations, Knoxville, TN). The new PET scanner has unique 13 x 13 LSO block detectors each 4 mm x 4 mm in cross-section (Fig. 8.17). The pico-3D read-out electronics, adapted to the speed and light output of LSO, is operated with a coincidence time window of 4.5 ns and a lower energy threshold of 425 keV. The significance of these high-resolution detectors is illustrated in Fig. 8.17 for a patient with squamous cell carcinoma of the right tonsil. Following treatment that included a right tonsillectomy, radical neck dissection and chemotherapy, the patient was restaged by scanning first on an ECAT EXACT (CPS Innovations, Knoxville, TN) with 6.4 mm x 6.4 mm BGO detectors, and then on Figure 8.17. High-resolution PET and PET CT imaging using...
For the reasons specified above the bulk of incidence monitoring is focused at the severe end of streptococcal disease. Our understanding of the epidemiology of less severe but vastly common superficial infections is severely limited despite the substantial burden represented by these diseases, especially the ubiquitous streptococcal pharyngitis. Such diseases represent a significant burden on healthcare provision and also provide a constant reservoir for deeper-seated infections. Pharyngitis is one of the most common reasons for patients to consult their family practitioner. Acute tonsillitis and pharyngitis account for over 800 consultations per 10000 patients annually, in addition to the economic impact of days missed from school or work (Royal College of General Practitioners 1999).
The clinical picture is of abrupt onset of fever, malaise, headache, sore throat, myalgia, coryza and a dry cough lasting 2-5 days. The clinical features in children and in the elderly may differ in some respects and children may present with febrile convulsions, conjunctivitis, croup, otitis media, bronchitis and gastrointestinal symptoms. Diagnosis based on clinical presentation is difficult but more likely if influenza is known to be common in the community.
During the period of acute febrile illness, and intramuscular injections some time before the acute episode, all seem to be provoking factors leading to paralysis. Tonsillectomy increases the risk of bulbar poliomyelitis. The mechanism of these various stresses is not clear.