Sore throat can be more than a viral pharyngitis!
- Peritonsilar Abscess (quinsy)
- Infectious mononucleosis
Most patients with sore throat will have a viral or short-lived bacterial infection. However, clinicians need to be able to identify patients at risk of having group A beta-haemolytic streptococcal infections as appropriate treatment may prevent complications.
Other less common bacterial causes of pharyngitis/ tonsilitis include:
- group C and G strep, Fusobacterium necrophorum, Neisseria gonorrhoea, Corynebacterium diphtheriae, Mycoplasma pneumoniae, and several chlamydial species
Less common and/or dangerous causes of a sore throat include:
- Lemierre syndrome due to Fusobacterium necrophorum
- Retropharyngeal abscess
- Scarlet fever
- Bacterial Tracheitis
- Ludwig’s Angina
- Angioedema or anaphylaxis
- Painful cervical lymphadenopathy
- Trauma, e.g. foreign body or caustic ingestion
References and Links
- ENT Equivocation 001 — A nasty sore throat
- ENT Equivocation 002 — My throat hurts!
- Tropical Travel Trouble 011 – Tonsillitis and the Bull
- Paediatric Perplexity 016 – Frankly my dear, I do give a damn
Journal Articles and Textbooks
- Stewart, C. (2006). A “killer” sore throat: Inflammatory disorders of the paediatric airway. Pediatric Emergency Medicine Practice. (Vol3, No 6)