Acute tonsillitis or tonsillitis is an inflammation of the tonsils caused by a bacterial or viral infection. The classic form of the course of the disease is always accompanied by a strong fever in the first days of the disease. But sometimes there are mild symptoms of sore throat in adults without fever. This indicates a mild form of the pathology that has arisen or a weakened immune system that does not respond to infection.
Causes of the development of the disease without temperature
Angina is an infectious disease. Its causative agents are most often streptococci, but can be staphylococci, pneumococci, enteroviruses and fungi. The infection enters the body in the following ways:
- from the outside - airborne, from contact with a sick person in case of non-compliance with the rules of personal hygiene;
- from the inside - chronic infections: dental caries, diseases of the nose and sinuses, gastroenteritis.
The main factor predisposing to the development of angina withouttemperature in an adult is the entry into the body of a small number of pathogenic microbes and bacteria that affect only the surface layer of the tonsils or a weakening of the immune system that occurs due to:
- development of serious diseases;
- malnutrition;
- overwork;
- adverse living conditions;
- hypothermia;
- polluted atmosphere;
- a sharp change in temperature.
When a sore throat goes away without raising the temperature, one must be very attentive to the state of one's he alth and be sure to visit a doctor. Even the mildest manifestation of the disease requires competent treatment.
Classification of acute tonsillitis
Angina without fever in adults often occurs when the immune system is weakened. The risk group includes pregnant women, pensioners and seriously ill people who have hepatitis, tuberculosis, oncology, HIV infection. With normal or subfebrile temperature, the following types of tonsillitis can occur:
- catarrhal - the mildest form, often a complication of a viral disease;
- fungal - caused by the Candida fungus;
- ulcerative necrotic – localization site is one tonsil;
- follicular - associated with the appearance of follicles on the surface of the tonsils;
- lacunar - extensive purulent lesion of the tonsils and severe course;
- phlegmonous - characterized by unilateral inflammation;
- chronic - happeningformation of plugs in the lacunae of the tonsils.
All types of sore throats are associated with an inflammatory process in the tonsils, but they occur without fever, therefore they are very dangerous, since the body does not fight infection. In addition, since there is no fever, the patient does not attach importance to the disease and is in no hurry to visit a doctor, which significantly aggravates the condition and often leads to serious complications.
Clinical picture
The mild course of the disease passes in an adult without fever, the symptoms of angina are mild. Often he does not pay attention to perspiration, dryness in the throat and headaches. To prevent worsening of the condition, doctors recommend seeking medical attention if the following minor warning signs appear:
- With normal or slightly elevated body temperature, there is general weakness and drowsiness.
- Headache that improves slightly after taking pain pills.
- Aches in muscles and joints.
- Swelling and redness of the tonsils.
- Pain in the throat when swallowing, perspiration.
- A paroxysmal dry cough.
- Slight enlargement of cervical lymph nodes.
Such signs of sore throat in adults without fever completely coincide with the manifestations of tonsillitis, which is accompanied by fever.
Diagnostic measures
Angina is a serious disease, carrying it on your feet and carrying out only symptomatic treatment is dangerous with consequences. Therefore, with the defeat of the tonsils and the occurrence of the abovesymptoms, you should consult a doctor who will carry out the following activities:
- During the conversation with the patient, he will reveal complaints, the nature of the pain, the time of onset of the disease.
- Visual examination - each type of sore throat has its own specific features that a qualified specialist will notice and palpate the lymph nodes.
To clarify the results of a preliminary diagnosis based on the patient's complaints and signs of a sore throat in an adult without fever, the doctor prescribes additional measures, consisting of:
- General blood test - the presence of an inflammatory process is determined by ESR.
- Biochemical blood test - antibodies to infection are established.
- Bacteriological culture - a swab is taken from the throat. As a result, the type and sensitivity of the bacteria to antibiotics is determined.
After establishing the pathogenic organism that provoked tonsillitis, therapeutic treatment is prescribed.
Catarrhal angina: clinical picture, therapy
This type of tonsillitis is most often a complication of SARS or influenza. After illnesses, the body's defenses decrease and a bacterial infection may well join. The disease, as a rule, proceeds in a mild form without fever. Signs of angina in adults are as follows:
- General intoxication - lack of appetite, lethargy, aching joints, headache.
- Unpleasant sensation in the throat that is aggravated by swallowing.
- Increase and rednesstonsils.
- Formation of translucent plaque on the surface of the tonsils.
- Slight enlargement of cervical and parotid lymph nodes.
The main task of therapy to eliminate catarrhal angina is to eliminate the causative agent of infection, eliminate inflammation and prevent complications. How long does angina last in adults without fever? With the right method of therapy, catarrhal angina disappears in 3-5 days. For treatment, an integrated approach is used. The patient is advised to limit physical activity for several days, observe bed rest and drink plenty of fluids. In this case, the following medications are shown:
- Antibacterial - most often prescribed "Cefazolin", "Amoxicillin", "Augmentin".
- To remove plaque and reduce irritation of the mucous membrane - solutions "Miramistin" and "Furacilin".
- Paracetamol is used for severe headaches.
- Antihistamines - "Suprastin" and "Claritin" for swelling of the throat.
All treatment is carried out only on the advice of a doctor. Failure to comply with prescriptions leads to complications: meningitis and abscess.
Fungal tonsillitis: symptoms, treatment
The causative agent is the microscopic fungus Candida. Once on the mucous membranes of the pharynx, microorganisms multiply rapidly. The main symptom of a sore throat in an adult without fever (there is a photo in the article) caused by a fungus is the formation of a white cheesy plaque on the tonsils. It is easily removed with a cotton swab. In addition, the patient experiences an unpleasant sensation inlarynx, and a putrid odor emanates from the mouth. With candidal tonsillitis, plaque, in addition to bilateral lesions of the tonsils, extends to the tongue, palate, pharyngeal mucosa, and in severe cases, to the entire oral cavity and esophagus.
The disease is sometimes perfectly treated with folk remedies: garlic, onion, echinacea decoction. In severe cases, antifungal agents are used: Itraconazole, Nystatin and antiseptic preparations for gargling. Untreated fungal tonsillitis is sure to come back.
Ulcer-necrotic tonsillitis: symptoms, therapy
This type of sore throat is rare, especially during the cold season. It provokes ulcerative necrotic tonsillitis, immunodeficiency and chronic foci of infection. Signs of angina in adults without fever (photo in the article) are as follows:
- feeling of a foreign lump when swallowing;
- sore throat that persists during rest;
- there is a unilateral lesion of the tonsil;
- putrid, bad breath;
- increased salivation;
- Swollen lymph nodes on the side of the damaged tonsil.
Treatment is outpatient. After carrying out diagnostic measures, the following therapeutic agents are prescribed:
- Local - used for oral care: necrotic masses are removed, rinsing with antiseptic solutions is carried out. They use "Hydrogen Peroxide", "Lapis", "Furacilin".
- Assign whenangina for adults without temperature antibiotics - "Amoxicillin" or "Ampicillin". If they are ineffective, after the antibiotic sensitivity test is ready, the drug is replaced with other drugs.
- General tonic and symptomatic - vitamin complexes, immunomodulators and drugs to relieve symptoms are used.
The disease is complicated by a long course. In the absence of the necessary therapy, there is a danger of the transformation of the pathology into purulent tonsillitis, the hard palate is destroyed. Infection, ending up in the tooth socket, leads to tooth loss.
Treatment of follicular tonsillitis in adults without fever
The causative agent of the disease is most often streptococci, in rare cases staphylococci and viruses. Infection is carried out by airborne droplets upon contact with a sick person, less often it is transmitted with objects on which pathogenic microorganisms remain. Pathology occurs when the immune forces of the body are weakened against the background of hypothermia, malnutrition, excessive consumption of cold foods and drinks. At the same time, pathogenic bacteria infect the tonsil follicles, forming small white pustules. Therefore, follicular tonsillitis is called purulent tonsillitis. In adults without fever, this disease occurs very rarely, only with a greatly weakened immune system. The main symptoms are:
- severe weakness, loss of appetite, sleep disturbance;
- sore throat that worsens when swallowing and often radiates to the ear;
- appearance of pain in the lymph nodes;
- increaseinflamed tonsils with follicles filled with pus;
- severe headaches;
- possible nausea and vomiting.
For the treatment of follicular angina, you need:
- Follow the daily routine and diet - in the early days, exclude physical activity and stay in bed more. Plentiful fluids and light meals are recommended.
- With the bacterial nature of purulent tonsillitis in an adult without fever, antibiotics of the penicillin series, macrolides and cephalosporins are used.
- Symptomatic remedies: to eliminate allergic reactions - antihistamines, to strengthen the body - vitamins and immunomodulators.
- Topical therapy - antiseptic solutions for gargling.
After a sore throat, complications in the cardiovascular system and kidneys are possible.
Lacunar angina: signs, treatment
The symptoms of this type of sore throat are the same as those of the follicular, only it is more severe. The disease is predominantly caused by bacteria that deeply affect the tissues of the tonsils along with the lacunae. Inflammation is observed from two sides. Purulent tonsillitis in adults without fever (there is a photo in the article) is rare and only when the body is weakened by some disease. The latent period of the disease lasts no more than two days. Signs of malaise grow rapidly, often within two hours. Common symptoms include:
- severe malaise, aching muscles and joints;
- enlarged tonsils;
- filling gaps with pus;
- growth and tenderness of lymph nodes;
- tearing and pain when swallowing;
- headaches.
Treatment of purulent tonsillitis without fever in adults is performed on an outpatient basis using the following medications:
- Antibiotics - depending on the severity of the disease, penicillins are prescribed, macrolides - Sumamed, Flemoxin, cephalosporins - Ceftriaxone, Suprax.
- NSAIDs - used for severe pain, swelling and swollen lymph nodes - Voltaren, Ibuklin.
- Antihistamines - are prescribed for severe swelling of the pharynx - Diazolin, Tavegil.
- Immunostimulants – IRS-19.
- Multivitamin complexes - to support the immune system.
In addition, antiseptic solutions are used for rinsing and inhaling the throat, lozenges. Inadequate treatment can lead to serious complications: inflammation of the kidneys, myocarditis, meningitis, rheumatism, arthritis.
Phlegmonous tonsillitis: symptoms, treatment
In most cases, the disease is caused by other forms of primary tonsillitis. Most often, an abscess is formed after improper treatment of lacunar or follicular tonsillitis. A weakened body does not resist the disease well, and the first signs of a sore throat without fever in adults appear about three days after the primary tonsillitis. After a temporary improvement, it reappears:
- aching headache, weakness, loss of appetite, disturbed sleep;
- renewed pain during swallowing and even when moving the tongue;
- putrid smell appears;
- nasal develops, speech distortion occurs;
- the head takes a forced position with an inclination to the affected side.
Treatment of phlegmonous tonsillitis is carried out in a hospital and consists of conservative and surgical methods. Includes:
- Drainage of an abscess is a surgical method of opening and pumping out pus from a damaged tonsil.
- Antibiotics – 3rd and 4th generation macrolides and cephalosporins are used.
- Treatment of sore throat symptoms in adults without fever is provided by the use of painkillers and antihistamines, immunostimulants and vitamin complexes. Local therapy is carried out in the form of rinsing the mouth with antiseptic solutions.
Timely diagnosis and timely treatment is the way to recovery and the absence of purulent complications. Otherwise, peripharyngeal abscesses, laryngeal edema and neck phlegmon develop. When the infection spreads through the bloodstream, it is possible to develop purulent meningitis and even sepsis.
Treatment of angina without fever in adults caused by viruses
Viral acute tonsillitis is not often fixed, it is provoked by adenoviruses, herpes virus and Coxsackie. The patient's illness has an abrupt onset, accompanied by the following symptoms:
- weakness;
- sore throat;
- difficulty swallowing;
- enlarged lymph nodes;
- inflamed, loose tonsils with a whitish coating.
Initi althe stage of the disease of a viral and bacterial nature differs slightly. However, an increase in the tonsils with symptoms of coughing, gastrointestinal disorders, herpetic eruptions, more often indicate a viral origin of the disease. To accurately determine the diagnosis, a study is required to determine the pathogen. It is possible to become infected with a viral sore throat by direct contact with the pathogen and with a weakened immune system. Aggravating factors that increase the risk of pathology are:
- violations of metabolic processes;
- avitaminosis;
- serious defects in the functioning of internal organs;
- poor environmental conditions;
- poor personal hygiene.
What should an adult drink without a fever with a sore throat caused by viruses? For an uncomplicated form, use:
- antiseptic solutions for gargling;
- anti-inflammatory drugs;
- Antitussive and expectorant solutions and tablets;
- antihistamines.
In case of acute symptoms, it is imperative to observe bed rest and drink more fluids. Food at the same time should be sparing for the pharyngeal mucosa. Avoid spicy, hot and cold foods. The doctor prescribes specific antiviral treatment in severe cases. Vitamin complexes and immunomodulators are used to strengthen the immune system. The viral form of angina rarely leads to serious consequences. They only occur when the patient neglects the treatment and carries her on her feet.
How to treat a sore throat at homeconditions?
In the fight against acute tonsillitis, a proven therapy regimen has developed, if all instructions are followed correctly, then a relatively quick treatment of tonsillitis in adults without fever is provided. It must be remembered that you cannot prescribe medications for yourself - only a doctor can do this. Therefore, when the first symptoms of a sore throat appear, although there is no temperature, it is necessary to contact the clinic. The doctor will ask you to take tests to determine whether the disease is caused by a virus, bacteria or fungi. Depending on this, treatment will be prescribed. But in any case, the patient must:
- Comply with bed rest, especially in the first days of illness.
- Drink enough fluids. You can use plain water, fruit drinks, kissels, compotes, fresh juices. This will help to quickly remove toxic substances from the body and reduce sore throats.
- Stay on a special diet. Food should be light and in liquid form, not irritate the mucous membrane of the larynx. To prepare it, use foods rich in vitamins and minerals.
How to treat a sore throat in an adult without fever? Depending on the identified pathogen, antibiotics, antiviral or antifungal agents are prescribed, which are taken strictly according to the doctor's prescription. In addition, they use:
- Aerosol preparations. Irrigate the mucous membrane of the throat several times a day with antimicrobial and analgesic drugs: "Kameton", "Ingalipt".
- Antihistamines - suitable for removing swelling of the mucous membranes"Dimedrol", "Suprastin".
- For gargling - antiseptic solutions - soda, saline, and Miramistin.
- Vitamin complex - will strengthen the immune system.
These activities will allow you to quickly cope with a sore throat and restore he alth.
Chronic tonsillitis in remission
Chronic tonsillitis, as a rule, proceeds without a rise in temperature. This form of the disease refers to the complications of angina, and it occurs with improper treatment and non-compliance with the doctor's recommendations. Chronic tonsillitis is characterized by the following symptoms:
- red and swollen tonsils
- occurrence of constant discomfort in the throat (itching);
- tight seals and scarring;
- tonsilloliths on the tonsils.
Chronic tonsillitis occurs with remissions and exacerbations that occur in the cold season, with beriberi and reduced immunity. The treatment regimen during the period of exacerbation is determined by the doctor. Most often, a course of antibiotics is prescribed, physiotherapy, inhalation and rinsing are used to relieve symptoms. To maintain immunity, a complex of vitamins is prescribed.
Prevention of tonsillitis
It is possible to prevent the development of symptoms of angina without fever in an adult (the photo is in the article) if the following rules are observed. To do this, you need:
- Strengthen your immune system by being active: take daily walks in the fresh air, exercise regularly and do sports that you can.
- Treat infectious diseases in a timely manner and until full recovery.
- Observe hygiene and carry out timely sanitation of the oral cavity - this will help prevent the development of pathogenic microorganisms.
- Doing air and water hardening is one of the best ways to prevent tonsillitis.
- Regularly ventilate the room and humidify the air.
- Eat he althy - eat more foods containing fiber, minerals and vitamins.
- If possible, in the summer, relax on the sea coast.
All activities require a certain amount of organization, but once they become a habit, everything will be done easily and quickly.
Instead of a conclusion
Often the inflammatory process is accompanied by fever. This is a natural defensive reaction of the body. But in some cases, there is a sore throat in adults without fever (a photo of the throat is in the article). In this case, a person does not notice the general reaction of the body, he is only tormented by a sore throat, a slight malaise and an increase in lymph nodes. But this does not mean that this form of tonsillitis is safe. It also acquires a purulent character and can result in serious complications. Therefore, when the characteristic symptoms of a sore throat appear, you should immediately consult a doctor, even if you have a normal body temperature. An accurate diagnosis will be made only by a medical professional, and will also recommend adequate therapy. Otherwise, the likelihood of severe complications is quite high.
