RS19_1 – Acute pharyngitis (post-traumatic or other)
Synonyms
No known synonym
Name of the disease in English
Acute pharyngitis-Pharyngeal traumas and abscesses
The disease in brief
Acute pharyngitis is the result of direct trauma (drug gun, bolus administration or injurious foods) or comes from the extension of a local infection such as laryngeal or oral necrobacillosis, actinobacillosis or general infection such as IBR. It is an often isolated condition and remains so, but it can lead to the death of the patient in the most serious forms.
Clinic & diagnosis
Signs include pharyngeal edema and pain: pain on swallowing (odynophagia) and swallowing disorders (dysphagia). Dysphagia leads to ptyalism. Regional lymphadenopathy is present. Respiratory signs are dominated by sputum (often containing food) and open-mouth inspiratory dyspnea in the most severe cases.
In phlegmon of the pharynx, local edema is significant and will quickly be accompanied by general signs of depression and tachycardia.
Typical sign of the disease
No description
Pictures
See below
Diagnostic formulas
No description
Differential diagnosis
– Laryngeal trauma-N146
-Croupal laryngitis RS19
– Abscess of the retropharyngeal lymph nodes – N273
-IBR RS18
Confirm a suspicion?
A thorough examination of the bottom of the oral cavity, with suitable lighting, and if necessary sedation, most often allows the lesions of the pharynx to be observed if they are visible; a swab of the lesions then allows the isolation of the bacteria in question. A phlegmon of the pharynx may not be clearly visible at this level and represent a mortal risk for the patient. Ultrasound may be useful.
Prognosis and treatment
If we intervene at the start of the infection, the treatment gives good results on superficial pharyngitis;
Treatment is by injection of potentiated sulfonamides or broad-spectrum antibiotics such as the combination of Penicillin and Streptomycin. An anti-inflammatory (corticosteroids or NSAIDs) will usefully complement the anti-infective if the inflammation and dyspnea are severe. In the event of a risk of phlegmon of the pharynx, antibiotic treatment must be particularly intense.
Prevention
Avoid vulnerating foods and minimize drugging of difficult-to-restrain cattle.
References
Large animal internal Medicine-5th edition. SMITH B.BP. Mosby ed p553