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Child with high temperature and pus filled swollen tonsil. Difficult to swallow. Tonsillitis?

My very fit active 13 year old has a temp of 38c and one swollen tonsil with pus spots over it. It is the size of a small grape, covering about a quarter to a third of her airway. She is having difficulty swallowing and is lethargic. Is this tonsillitis or quincys? We only get to see a nurse with a sore throat- it s not important enough for a gp - she has px penicillin V today Thanks
Asked On : Fri, 22 Mar 2013
Answers:  2 Views:  55
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General & Family Physician 's  Response
Sep 2013
Hello,
Thanks for the query to H.C.M. Forum.
Without physical examination it is very hard to say whether it is tonsilitis or quincys (peritonsillar abscess).
Anyway the main cause of this is bacteria.
In my opinion levofloxacin 500 mg / day for five day is the best drug.
Antiseptic solution gargles will provide local relief, ( HOT SALINE ALSO).
As far breathing problems , it may be due to allergy ( if sneezing, tears in eyes, mucus from nose present).
If allergy consult a physician and get treatment.
Good luck.
Dr. HET
Answered: Wed, 17 Jul 2013
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Allergist and Immunologist Dr. Suman Kumar's  Response
PENICILLINES ARE BEST CHOICE FOR THIS YOU CAN USE PENICILLINES FOR 3 WEEK
ADD ANTACID TO COMFORT THE SWELLING IN FOOD CANAL
ADD ANTIPYRETIC AND ANALGESIC FOR FEVER AND PAIN
ANTISEPTIC MOUTH WAS GARGLES AFTER EVERY MEAL
AND ADD ANTIALLERGICS TO REDUC THE ITCHING
Answered: Wed, 17 Jul 2013
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