According to the International Classification of Diseases 10, tonsillitis is divided into acute and chronic, which are distinguished as independent nosological forms with their own codes: J03, J35.0. They make it possible to simplify the activities of medical workers in patient registration.
Acute tonsillitis (ICD code 10 J03) or tonsillitis is an infectious disease during which tonsils become inflamed (palatine tonsils). It is contagious, transmitted through direct contact or through food. There is also self-infection by microbes living in the throat. When immunity decreases, their activity increases.
It is often the causative agent of streptococcus A (it can be in almost all healthy people and poses a threat to others), adenoviruses, pneumo- and staphylococcus are a little less common.
Therapy of the acute form consists in the elimination of the pathogenic microorganism, general relief of the patient's condition.
So, for what reasons there is tonsillitis (tonsillitis). ICD 10 codes are indicated.
Reasons for the appearance
This disease can occur due to two main factors: bacterial and viral infections. The first rarely provokes the appearance of tonsillitis (about a third of all cases), these are usually all kinds of anaerobic bacteria (pneumonia, mycoplasma, chlamydia, diphtheria). The latter most often includes viruses such as adenovirus, measles virus, herpes simplex, cytomegaly virus, Epstein-Barr virus.
Acute tonsillitis is a contagious disease. The highest percentage of infection was noted in its first days. Symptoms of this pathology differ depending on which type of tonsillitis is detected in the patient. How does acute tonsillitis manifest itself (ICD code 10 J03)?
Catarrhal variety
With this form, the surface of the palatine tonsils is affected. She is one of the easiest. With proper and timely therapy, tonsillitis will safely end. If this is not done, then it will move to a more serious stage.
Catarrhal sore throat has the following symptoms: pain in the head and throat, weakness, fever. Sore throat is the main symptom that determines this form of tonsillitis. To distinguish a catarrhal species from pharyngitis, you need to know that redness with it is noted on the back wall and palate.
Acute purulent tonsillitis occurs (ICD code 10 J03.0).
Follicular variety
During the course of follicular tonsillitis, follicles form, which look like yellow or white-yellow hues that penetrate the inflamed tonsil mucosa. In size they are no larger than a pin head.
If the patient has follicular tonsillitis, then his lymph nodes are enlarged, giving him pain during palpation. There are cases in which the follicular form of tonsillitis affects an increase in the size of the spleen. This ailment lasts about five to seven days and is characterized by symptoms such as fever, vomiting and diarrhea, sore throat. What else is angina? Classification of tonsillitis (ICD 10 J03) continues.
Lacunar variety
With this form, there is the appearance of gaps, presented in the form of whitish or purulent formations that affect the mucous membrane of the tonsils. They gradually increase, affect an increasingly vast part. However, these formations do not go beyond the amygdala. When the lacunae are removed, there are no bleeding wounds left after them. Lacunar angina develops in the same way as follicular tonsillitis, but differs in a more severe course.
What other acute tonsillitis exists (ICD code 10 J03)?
Fibrous variety
This form is characterized by a solid coating of yellow or white color. Unlike the previous forms, in which tonsillitis did not go beyond the tonsils, with a fibrous variety, it can violate these boundaries. The film is formed in the first hours after the onset of the disease. In acute course, such characteristics as headache, fever, general weakness, poor appetite are possible. Also, against the background of these symptoms, the development of brain damage is possible.
The treatment and causes of chronic tonsillitis (ICD code 10 J35.0) will be presented below.
Phlegmous variety
This form is observed in very rare cases. It is distinguished by such a sign as the melting of a certain section of the tonsil, and only one is affected. This form can be recognized by the following characteristics: acute sore throat, weakness, chills, high salivation, temperature reaching 38-39 degrees, unpleasant odor. During the examination of the patient, enlarged lymph nodes are detected, causing the patient painful sensations from palpation. In addition, there is redness of the palate on one side, the palatine tonsil is displaced, swelling is present. Since the mobility of the soft palate due to its inflammation is limited, liquid food can leak out through the nose. With untimely treatment, an abscess or perintosillary abscess forms on the tissues of the tonsils. An autopsy can occur either independently or through the use of surgical methods. We continue the review of information about tonsillitis (acute tonsillitis).
Herpetic variety
This form of the disease is characterized by a rise in temperature, pharyngitis, vomiting, pain in the abdomen, the appearance of ulcers that affect either the soft palate or the back wall of the pharynx. Only the Coxsackie virus can affect the development of herpetic sore throat. In most cases, the disease is diagnosed in people in the summer and autumn. Infection is a consequence of interaction with a sick person.
The initial stage of the disease is characterized by a rise in temperature, fatigue, weakness and irritability. In the future, a person feels a sore throat, saliva is strongly released, a runny nose and redness appear on the palate, tonsils and the back of the throat. The mucous membrane is covered with vesicles containing serous fluid. Gradually, they begin to dry out, and crusts appear on these places. In addition, in the presence of herpetic sore throat, nausea, diarrhea and vomiting may occur. As a diagnosis, an examination of the patient and his referral to a blood test are performed.
The classification of acute tonsillitis (according to ICD 10 J03) does not end there.
Ulcer-narcotic
This form develops against a background of decreased immunity and vitamin deficiency. Its causative agent is a spindle-shaped rod located in the oral cavity of any person. In most cases, the disease occurs in the elderly. At risk are also those patients who have heart ailments. With a ulcerative necrotic form, completely different symptoms are observed than those presented in the previous varieties: the temperature does not increase, there is no weakness or sore throat, however, the patient feels that there is a foreign object in his throat, as well as a bad smell from mouth. On examination, the doctor notices a green or gray coating that covers the inflamed tonsil. If you remove it, an ulcer will appear in this place, which will bleed. Sore throat or acute tonsillitis according to ICD 10 (international classification of diseases) has the code J03.9 and may have an unspecified form.
Unspecified
With this form, manifestations of a general and local order are observed. Marked necrotic lesions affecting the mucous membrane of the upper respiratory tract. Unspecified sore throat is not an independent disease - it is only a consequence of a number of provoking factors. Signs of this ailment appear throughout the day. This form is characterized by a rise in temperature, malaise, chills. If treatment is not started, the pathological process will also affect the mucous membrane of the oral cavity. In this case, the inflammation will spread to the periodontal tissue, as a result of which gingivitis and stomatitis will form.
Common symptoms of acute tonsillitis
Acute tonsillitis is characterized by the following main symptoms:
- increase to forty degrees of temperature;
- a feeling of a foreign object in the throat and tickle;
- acute sore throat, which intensifies during swallowing;
- headache;
- weakness;
- joint and muscle pain;
- less likely to cause pain in the heart;
- the lymph nodes become inflamed, resulting in unpleasant sensations in the neck during head turns.
Possible complications
Most often, the disease does not have any complications, the forecasts are generally optimistic. However, in some cases, rheumatic fever may appear as a complication, although this is still more an exception than the rule. In a neglected form, acute tonsillitis flows into a chronic one, along with damage to the organs of the nasopharynx. Often the chronic form is accompanied by frontal sinusitis, sinusitis and adenoiditis in children.
In addition, complications can result from incorrect, untimely, or inadequate therapy. Those patients who try to cope with the disease on their own and who do not seek the help of a specialist are also at risk.
Treatment
Therapy is directed to the effects of general and local. It turns out hypersensitive and restorative treatment, vitamins are prescribed. Hospitalization with this disease is not necessary, with the exception of severe forms of its course. Acute tonsillitis (ICD code 10 J03.8) should be treated exclusively under medical supervision. To combat the disease, the following measures are taken:
- if the source is bacteria, antibiotics are prescribed (local remedies: Miramistin, Kameton, Bioparox sprays; Geksaliz, Lizobakt lollipops);
- preparations containing antiseptic substances relieve sore throat: Tantum Verde, Strepsils;
- if there is a high temperature, antipyretics are prescribed;
- gargle with anti-inflammatory and antiseptic drugs: "Chlorhexidine", "Furacilin", decoctions of chamomile, sage;
- if there is severe swelling of the tonsils, antihistamines are prescribed.
The patient must be isolated. The mode is assigned sparing. It is necessary to adhere to a diet, exclude spicy, cold, hot food. Recovery usually occurs in ten to fourteen days.