Purulent tonsillitis, currently considered a bacterial infection, requires treatment with antibiotics. However, the clinical use of many misdiagnosed as purulent tonsillitis, thus improving the application of antibiotics, the following differential diagnosis is proposed: 1, infectious mononucleosis: blood routine is also elevated white blood cells, but mainly lymphocytes, CRP is mostly normal or slightly elevated; the tonsils on the for white membranous material.
2, pharyngeal conjunctive membrane fever or adenovirus infection: laboratory blood tests can be the same as chemical flat, it is difficult to distinguish. However, the ones on the tonsils are white flakes, while those on the chemobian are yellowish-white pus spots or pus plugs.
3. Herpes pharyngitis: when herpes grows on the tonsils, it is easy to misdiagnose; routine blood + CRP is also difficult to identify. However, in addition to herpes on the tonsils, herpes can also be seen on the isthmus, palate, etc. Most of the white rice-like herpes are surrounded by a red halo.
4, thrush in small children: check the blood routine + CRP and detailed examination can be identified.
5, tonsillar mechanized matter: due to repeated inflammation of the tonsils, some children with tonsils can be seen on a white object, rubbing it does not go away, lasting a long time, but the clinical matter discomfort.
6, food residue: when you see a white object on the tonsils, you must have to rinse your mouth and look again when you are not sure.
7, scarlet fever : also caused by bacterial infection, but highly contagious, need to be isolated and treated.
8, staphylococcal scald-like skin syndrome (4S or SSSS): caused by immune factors after bacterial infection, this disease is seen in the tonsillar part of the body check with white secretions from the tonsils.
9, diphtheria: rarely seen, but white objects are visible on the tonsils.
10, other causes: but when the tonsils have white objects, and the clinical does not support the chemical flat, to consider whether caused by other viruses, or other immune factors.
The above 10 points, except for points 7 and 9 also need antibiotics, the other 8 points can be treated without antibiotics!!! Now the clinical adenovirus infection is misdiagnosed as chemobian in the first place, and the flyers are misdiagnosed as chemobian in the second place.