Angina without fever in an adult: signs, symptoms and treatment

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 intense fever in the early days of the disease. But sometimes mild sore throat symptoms occur in adults without fever. This indicates a mild form of arising pathology or a weakened immune system that does not respond to infection.

Causes of the disease without fever

Angina is an infectious disease. Its causative agents are most often streptococci, but staphylococci, pneumococci, enteroviruses and fungi can be. Infection enters the body in the following ways:

• from the outside - airborne droplets, from contact with a sick person if personal hygiene rules are not followed;
• from the inside - chronic infections: tooth decay, nose and sinus diseases, gastroenteritis.

The main factor predisposing to the development of angina without fever in an adult is the ingestion of a small number of pathogenic microbes and bacteria that affect only the surface layer of the tonsils or weakening of the immune system, which occurs in connection with:

• the development of serious diseases;
• malnutrition;
• overwork;
• adverse living conditions;
• hypothermia;
• polluted atmosphere;
• a sharp change in temperature.

When a sore throat passes without raising the temperature, one must be very attentive to the state of one’s health 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 a weakening of the immune system occurs. The risk group includes pregnant women, pensioners, and seriously ill people who have hepatitis, tuberculosis, oncology, and HIV infection. The following types of tonsillitis can occur with normal or subfebrile temperature:

• catarrhal - the mildest form, often a complication of a viral disease;
• fungal - caused by Candida fungus;
• ulcerative necrotic - 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 - characteristic unilateral inflammation;
• chronic - there is a formation of traffic jams in the gaps of the glands.

All types of tonsillitis are associated with the inflammatory process in the tonsils, but they occur without fever, therefore they are very dangerous, as the body does not fight infection. In addition, since there is no heat, 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, dry throat and headaches. To prevent deterioration of the condition, doctors recommend seeking medical help if the following minor warning signs appear:

• At normal or slightly elevated body temperature, general weakness and drowsiness are observed.
• Headache, which decreases slightly after taking painkillers.
• Pain in the muscles and joints.
• Swelling and redness of the tonsils.
• Pain in the throat when swallowing, tickling.
• Paroxysmal dry cough.
• A slight increase in cervical lymph nodes.

Such signs of angina in adults without temperature completely coincide with the manifestations of tonsillitis, which is accompanied by fever.

Diagnostic measures

Angina is a serious disease, carry it on your feet and carry out only symptomatic treatment with dangerous consequences. Therefore, if tonsils are affected and the above symptoms occur, you should consult a doctor who will conduct 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 inspection - each type of sore throat has its own specific features, which a qualified specialist will notice, will palpate the lymph nodes.

To clarify the results of a previously diagnosed patient’s complaints and signs of tonsillitis in an adult without fever, the doctor prescribes additional measures, consisting of:

• A general blood test - the presence of an inflammatory process by ESR is determined.
• Biochemical blood test - antibodies to infection are established.
• Bacteriological culture - a swab from the throat is taken. As a result, the type and sensitivity of the bacteria to antibiotics is determined.

After the establishment of the pathogenic organism that provoked tonsillitis, therapeutic treatment is prescribed.

Catarrhal sore throat: clinical picture, therapy

This type of tonsillitis is most often a complication of ARVI or influenza. After transferred diseases, the body's defenses are reduced and a bacterial infection may well join. The disease, as a rule, proceeds in a mild form without fever. Symptoms of angina in adults are as follows:

• General intoxication - lack of appetite, lethargy, aching joints, headache.
• Unpleasant sensations in the throat, which intensify when swallowing.
• Enlarged and reddened tonsils.
• The formation of a translucent coating on the surface of the glands.
• A slight increase in the cervical and parotid lymph nodes.

The main goal of therapy to eliminate catarrhal sore throat is to eliminate the pathogen of infection, eliminate inflammation and prevent complications. How long does angina last in adults without fever? With the right treatment method, catarrhal tonsillitis disappears in 3-5 days. An integrated approach is used for treatment. The patient is recommended for several days to limit physical activity, observe bed rest and drink plenty of fluids. In this case, the following medications are indicated:

• Antibacterial - most often prescribed "Cefazolin", "Amoxicillin", "Augmentin."
• To remove plaque and reduce irritation of the mucosa - Miramistin and Furacilin solutions.
• For severe headaches, “Paracetamol” is used.
• Antihistamines - Suprastin and Claritin for throat swelling.

All treatment is carried out only on the advice of a doctor. Failure to comply with the 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 angina in an adult without fever (photo is in the article) caused by a fungus is considered to be the formation of a white cheesy coating on the glands. It is easily removed with a cotton swab. In addition, the patient experiences an unpleasant sensation in the larynx, and a putrid odor emanates from the mouth. With candidal sore throat, plaque, in addition to bilateral lesions of the tonsils, extends to the tongue, palate, pharynx, and, in severe cases, to the entire oral cavity and esophagus.

The disease is sometimes perfectly treated with folk remedies: garlic, onions, congee of echinacea. In severe cases, antifungal agents are used: Itraconazole, Nystatin and antiseptic gargles. Untreated fungal tonsillitis necessarily returns.

Ulcerative necrotic tonsillitis: symptoms, therapy

This type of sore throat is rare, especially in the cold season. Provokes ulcerative necrotic tonsillitis immunodeficiency and chronic foci of infection. Symptoms of angina in adults without fever (photo in the article) are as follows:

• feeling of an extraneous lump when swallowing;
• sore throat, persisting during rest;
• there is a unilateral lesion of the tonsil;
• putrefactive halitosis;
• increased salivation;
• enlarged lymph nodes from the damaged tonsil.

Treatment is carried out on an outpatient basis. After carrying out diagnostic measures, the following therapeutic agents are prescribed:

• Local - used to care for the oral cavity: necrotic masses are removed, rinsed with antiseptic solutions. Use "Hydrogen Peroxide", "Lyapis", "Furacilin."
• Antibiotics - Amoxicillin or Ampicillin are prescribed for sore throats for adults without temperature. If they are ineffective, after the readiness of the analysis for sensitivity to the antibiotic, the drug is replaced with other drugs.
• General strengthening and symptomatic - vitamin complexes, immunomodulators and drugs for relieving symptoms are used.

The disease is complicated by a prolonged course. In the absence of the necessary therapy, there is a danger of the transformation of pathology into purulent tonsillitis, the hard palate is destroyed. An infection in a tooth hole 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 in contact with a sick person, less often transmitted with objects on which pathogens remain. Pathology occurs when the body's immune forces are weakened against the background of hypothermia, malnutrition, excessive consumption of cold foods and drinks. At the same time, pathogenic bacteria infect the tonsils follicles, forming small white abscesses. Therefore, follicular tonsillitis is called purulent tonsillitis. In adults without temperature, this ailment is very rare, only with a strongly weakened immune system. The main symptoms are as follows:

• severe weakness, loss of appetite, sleep disturbance;
• sore throat, aggravated by swallowing, and often giving to the ear;
• the onset of soreness of the lymph nodes;
• enlarged tonsils with follicles filled with pus;
• severe headaches;
• possible nausea and vomiting.

For the treatment of follicular tonsillitis, it is necessary:

• Observe the regimen of the day and diet - in the first days, exclude physical activity and stay in bed more. Drink plenty of fluids and light foods.
• With the bacterial nature of purulent tonsillitis in an adult without temperature, penicillin-type antibiotics, macrolides and cephalosporins are used.
• Symptoms: to eliminate allergic reactions - antihistamines, to strengthen the body - vitamins and immunomodulators.
• Local therapy - antiseptic solutions for gargling.

After a sore throat, complications are possible on the cardiovascular system and kidneys.

Lacunar angina: signs, treatment

Symptoms of this type of tonsillitis are the same as those of the follicular, only it is more severe. The disease is mainly caused by bacteria that deeply affect the tissues of the tonsils along with the gaps. Inflammation is observed from two sides. Purulent sore throat in adults without temperature (photo is in the article) is rare and only if the body is weakened by any disease. The latent period of the disease lasts no more than two days. Signs of malaise increase rapidly, often within two hours. The following symptoms are usually noted:

• severe malaise, aching muscles and joints;
• enlarged tonsils;
• filling the gaps with pus;
• growth and soreness of the lymph nodes;
• tickling and pain when swallowing;
• headache.

Treatment of purulent sore throat without temperature in adults is performed on an outpatient basis using the following medications:

• Antibiotics - depending on the severity of the disease, penicillins are prescribed, macrolides are Sumamed, Flemoxin, cephalosporins are Ceftriaxone, Suprax.
• NSAIDs - are used for severe pain, swelling and enlarged lymph nodes - Voltaren, Ibuklin.
• Antihistamines are prescribed for severe swelling of the pharynx - Diazolin, Tavegil.
• Immunostimulants - "IRS-19".
• Multivitamin complexes - to maintain the immune system.

In addition, antiseptic solutions for rinsing and inhaling the throat, tablets for resorption are used. 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 forms after improper treatment of lacunar or follicular tonsillitis. A weakened body does not resist the disease well and the first signs of sore throat without temperature in adults appear about three days after primary tonsillitis. Following the temporary improvement, it reappears:

• aching headache, weakness, loss of appetite, sleep disturbance;
• painful sensations resume during swallowing and even when moving with the tongue;
• a putrefactive odor appears;
• nasal development develops, speech distortion occurs;
• the head is in a forced position with an inclination towards the sore side.

Treatment of phlegmonous tonsillitis is carried out in a hospital and consists of conservative and surgical methods. They include:

• Abscess drainage is a surgical method for opening and pumping pus from a damaged tonsil.
• Antibiotics - used macrolides and cephalosporins 3 and 4 generations.
• Treatment of symptoms of angina in adults without temperature 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 path to recovery and the absence of purulent complications. Otherwise, near-pharyngeal abscesses, laryngeal edema and phlegmon of the neck develop. With the spread of infection with a blood stream, purulent meningitis and even sepsis may develop.

Viral-free sore throat treatment in adults

Viral acute tonsillitis is not often fixed, it is provoked by adenoviruses, the herpes virus and Coxsackie. In a patient, the disease has a sharp onset, accompanied by the following symptoms:

• weakness
• sore throat;
• difficulty swallowing;
• swollen lymph nodes;
• inflamed, friable tonsils with a whitish bloom.

The initial stage of the disease of a viral and bacterial nature differs slightly. However, tonsil enlargement with cough symptoms, gastrointestinal tract disorders, and herpetic eruptions often indicate the viral origin of the disease. To accurately determine the diagnosis, a study is necessarily carried out to determine the pathogen. It is possible to get viral sore throat with direct contact with the pathogen and with weakened immunity. Aggravating factors that increase the risk of pathology are:

• metabolic disorders;
• avitaminosis;
• serious defects in the work of internal organs;
• poor environmental conditions;
• non-observance of personal hygiene.

What should an adult drink without fever with sore throat caused by viruses? In 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 consume more fluid. Food should be sparing for the pharyngeal mucosa. Spicy, hot and cold dishes should be discarded. 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 occur only when the patient neglects the treatment and transfers it to the legs.

How to treat sore throat at home?

In the fight against acute tonsillitis, a proven therapy regimen has developed, if all the instructions are followed correctly, then a relatively quick treatment of angina in adults without temperature is provided. It must be remembered that you can not prescribe medications yourself - this is done only by a doctor. Therefore, when the first symptoms of a sore throat appear, although there is no temperature, you must definitely go to the clinic. The doctor will ask you to take tests to determine what caused the disease: a virus, bacteria or fungi. Depending on this, treatment will be prescribed. But in any case, the patient must:

• Observe bed rest, especially in the early days of the disease.
• Drink plenty of fluids. You can use plain water, fruit drinks, jelly, stewed fruit, fresh juices. This will help to quickly remove toxic substances from the body and reduce sore throat.
• Stick to a special diet. Food should be light and in liquid form, not irritate the larynx mucosa. For its preparation, use foods rich in vitamins and minerals.

How to treat angina in an adult without fever? Depending on the pathogen identified: antibiotics, antiviral or antifungal agents, which are taken strictly as prescribed by the doctor. In addition, they use:

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• the occurrence of a constant unpleasant sensation in the throat (perspiration);
• seals on the glands and the presence of scars;
• tonsillolitis on tonsils.

Chronic tonsillitis occurs with remissions and exacerbations that occur in the cold season, with vitamin deficiency and a decrease in immunity. The treatment regimen during an 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.

Tonsillitis prophylaxis

It is possible to prevent the development of symptoms of angina without fever in an adult (photo is in the article) subject to the following rules. To do this:

• Strengthen the immune system, leading an active life: take daily walks in the fresh air, regularly engage in physical exercises and feasible sports.
• Timely and until complete recovery to treat infectious diseases.
• Maintain hygiene and conduct timely sanitation of the oral cavity - this will help prevent the development of pathogenic microorganisms.
• Doing air and water quenching is one of the best ways to prevent tonsillitis.
• Ventilate the room regularly and humidify the air.
• Eat rationally - consume more foods containing fiber, minerals and vitamins.
• If possible, in the summer, relax on the coast.

All activities require a certain organization, but when 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, angina is observed in adults without fever (a photo of the throat is in the article). In this case, the 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 angina appear, you should immediately consult a doctor and 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.