- Pharyngitis is a condition where inflammation occurs in the pharynx at the back of the throat, commonly presenting as a sore throat.
- In addition to infections such as the common cold and influenza, causes can include allergies, smoking, streptococcal pharyngitis, infectious mononucleosis, and tonsillitis.
- Depending on the cause, inflammation due to viruses or bacteria, or mucosal reactions due to allergies or irritation, can cause throat pain and discomfort.
- Representative symptoms include a sore throat, pain when swallowing, and throat irritation, which may be accompanied by fever, cough, runny nose, hoarseness, or swelling of the cervical lymph nodes.
- The cause and severity of symptoms may vary depending on age, exposure to seasonal respiratory infections, smoking and airway irritants, allergies, and immune status.
- Many cases of acute pharyngitis improve within a few days to about 1 week, but if symptoms persist, worsen, or recur, other causes or complications must be evaluated.
- Diagnosis is performed by comprehensively combining the onset and course of symptoms, exposure to infection and accompanying symptoms, and oral and pharyngeal examination, adding tests for causes such as Streptococcus when necessary.
- It is difficult to clearly distinguish between viral and bacterial causes based on symptoms alone, and test results must be interpreted in conjunction with the patient's symptoms and clinical findings.
- Management should be tailored to the cause and severity of symptoms; maintaining adequate hydration and using gargles or baths may help reduce discomfort.
- Treatment varies depending on the cause; viral or irritant pharyngitis usually focuses on symptom relief and observation, while antibacterial treatment may be considered for bacterial causes following medical evaluation.