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Pharyngotonsillitis typically presents with sore throat and pain when swallowing, painful swelling of the cervical lymph nodes and general malaise. Associated with this clinical picture, it is not uncommon for fever, ear pain, bad breath and suppuration to also appear ( plaque formation).
Diagnosis of pharyngotonsillitis is based on clinical evaluation and is supported by rapid culture or antigenic tests to rule out the presence of group A beta-haemolytic streptococcus (SBEGA), which is responsible for important complications.
Treatment depends on the symptoms and the causative agent; generally, pharyngotonsillitis is self-limiting, but drug therapy (eg antibiotics in the case of bacterial infection) can improve symptoms more rapidly, reduce the period of contagiousness and prevent complications. The therapeutic management of pharyngotonsillitis also includes analgesia, hydration and rest.
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The palatine tonsils also favor immunization against microorganisms coming from the upper airways: by becoming inflamed, they force the body to produce antibodies capable of neutralizing viruses and bacteria. The pharyngeal tonsils (or adenoids) also participate in this defense activity against respiratory tract infections. In some cases, however, the task of the tonsils fails: after repeated bacterial or viral attacks, these can become chronically inflamed or excessively increase in volume (hypertrophy), turning, in turn, into a focus of "infection for the body" .