Clinical scoring system of acute pharyngotonsillitis

Adv Otorhinolaryngol. 2011:72:139-41. doi: 10.1159/000324771. Epub 2011 Aug 18.

Abstract

Objectives: The aim of this study was to evaluate clinical outcomes of acute pharyngo-tonsillitis by a scoring system and the impact of causative pathogens.

Methods: The patients with acute pharyngotonsillitis were evaluated for causative pathogens and her clinical symptoms and pharyngotonsillar finding by a clinical scoring system were assessed.

Results: Streptocococcus pyogenes were identified at 13.6%. Thirty-one viruses were also identified by PCR. The numbers of total white blood cells and the levels of C-reactive protein showed a significant positive correlation with clinical scores (p<0.001) and were significantly higher in cases with S. pyogenes. The clinical scores rapidly improved after the antimicrobial treatments in moderate cases and severe cases.

Conclusion: A clinical scoring system represents the severity of acute pharyngotonsillitis and is useful for evaluating clinical course of the illness.

Publication types

  • Comparative Study

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Pharyngitis / diagnosis*
  • Pharyngitis / microbiology
  • Prognosis
  • Prospective Studies
  • Reproducibility of Results
  • Severity of Illness Index
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / microbiology
  • Streptococcus / isolation & purification*
  • Tonsillitis / diagnosis
  • Tonsillitis / microbiology
  • Young Adult