Sore throat without fever: symptoms, treatment 12337 12

Purulent sore throat without fever

Purulent tonsillitis without fever is much less common than inflammation of the tonsils with a significant increase in body temperature.

In Latin, palatine tonsils are called tonsillae, and in the practice of ENT doctors, this diagnosis sounds like catarrhal tonsillitis.

Let's find out when there is a sore throat that is not accompanied by an increase in temperature, despite the fact that this disease has an infectious etiology.

ICD-10 code J03 Acute tonsillitis

Causes of purulent sore throat without fever

The main causes of purulent sore throat without fever are associated with the activation of pathogenic bacteria of serological group A that have entered the throat - by airborne droplets or through objects, for example, dishes or cutlery. First of all, it is the beta-hemolytic streptococcus Streptococcus pyogenes, which is the culprit almost 80% of cases of acute inflammation of the tonsils.

In addition, purulent sore throat without fever can occur due to Staphylococcus aureus (Staphylococcus aureus). This gram-positive bacterium is present on the skin and mucous membranes of the upper respiratory tract in almost 25% of people and coexists with humans according to the principle of commensalism. This is a type of coexistence in which the resident bacterium does not interfere with the life of the host organism that “shelters” it, but at the same time, responsibility for connections with the environment lies entirely with the owner. Therefore, as soon as the immune system (usually preventing bacteria from expressing their pathogenic properties) weakens, or the body’s nonspecific defense against infections fails, one or another disease develops. In this case - purulent sore throat without fever.

As otolaryngologists note, purulent sore throat without fever can have a mixed etiology, when the tonsils are attacked by both streptococci and staphylococci - against the background of weakened immunity due to hypothermia. In addition, the source of infection does not have to be external: often the tonsils become inflamed from an infection concentrated in the paranasal sinuses (for example, with chronic sinusitis or sinusitis) or in dental cavities affected by caries.

The causes of purulent sore throat without fever can also be chronic tonsillitis, difficulty breathing again, damage to the larynx by the fungus Candida albicans, damage to the palatine tonsils by spindle-shaped bacillus and spirochetes (Vincent's tonsillitis), stomatitis, syphilis.

Symptoms of purulent sore throat without fever

Sore throat (acute tonsillitis) has several clinical forms: catarrhal, lacunar and follicular, fibrous and phlegmonous. And only catarrhal tonsillitis, in which the inflammatory process affects only the upper layer of the mucous membrane of the tonsils, can be purulent tonsillitis without fever.

Obvious symptoms of purulent sore throat without fever appear as:

  • sore, dry and sore throat, which intensifies during swallowing and can radiate to the ears;
  • hyperemia (redness) and swelling of the tonsils, as well as hyperemia of the palatine arches and the posterior wall of the pharynx;
  • yellowish-white mucopurulent plaque covering the tonsils in whole or in part;
  • slight enlargement of the submandibular or postauricular lymph nodes, which may cause pain when palpated.

Where does it hurt?

Sore throat Sore throat during pregnancy Sore throat when swallowing Sore throat in children

What's troubling?

Symptoms of purulent sore throat

Diagnosis of purulent sore throat without fever

Diagnosis of purulent sore throat without fever is carried out by an otolaryngologist based on the patient’s complaints and through a routine examination of his throat. As a rule, this is quite enough to prescribe the necessary therapy.

But if purulent sore throat without fever occurs frequently, then to determine the type of pathogenic bacteria, a microbiological examination of a smear from the surface of the tonsils and the back wall of the pharynx is prescribed. You will also need to take a general blood test for ESR and leukocytes, as well as a blood test for CRP (C-reactive plasma protein).

What needs to be examined?

Pharyngeal (adenoid) tonsil

How to examine?

Pharynx examination

Who to contact?

Otolaryngologist ENT - doctor

Treatment of purulent sore throat without fever

Treatment of purulent sore throat without fever necessarily includes gargling. For this purpose, it is recommended to use a solution of hydrogen peroxide (3%), a solution of furatsilin (1 tablet per 100 ml of warm water), a solution of boric acid (one teaspoon per 200 ml of water), a solution of rivanol (0.1%), solutions of Chlorophyllipt or Benzydamine.

Also, for gargling, which should be done 4-5 times a day after meals, decoctions and water infusions of medicinal plants are used: sage, St. John's wort, chamomile and calendula flowers, oak bark and eucalyptus leaf (a tablespoon of dry herb per glass of boiling water) .

The condition of the throat and lymph nodes is improved by insulating the neck with a scarf, as well as warming compresses (ethyl alcohol with water in a 1:1 ratio).

To treat purulent sore throat without fever, antibacterial pharmaceutical drugs are used - antibiotics of the penicillin or cephalosporin series (Ampicillin, Amoxicillin, Oxacillin, Rovamycin, Cephalexin, etc.) in the form of tablets for oral administration.

Thus, Ampicillin, which has a wide spectrum of action, is prescribed to adults at 0.5 g 4-6 times a day, the maximum daily dose is no more than 3 g. For children, the daily dosage is determined at the rate of 100 mg per kilogram of body weight, and the daily dose is divided equal in parts of six doses. The semisynthetic antibiotic Amoxicillin (trade names Augmentin, Amoxiclav, Flemoxin Solutab) adults and children over 10 years old take one tablet (0.5 g) three times a day - before or after meals. The duration of treatment is 5-12 days. Rovamycin is a macrolide antibiotic with the bacteriostatically active substance spiramycin (in tablets of 1.5 million IU) - adults are recommended to take 3 million IU 2-3 times a day, and children - 150 thousand IU per kilogram of body weight per day. day (in three doses).

The cephalosporin antibiotic Cephalexin (in capsules of 0.25 g) is used: for adults - 0.25-0.5 g 4 times a day (regardless of meals); The daily dose for children is 25-50 mg per kilogram of body weight, also in four doses. The duration of the course of treatment is 7-14. Daily doses of Cephalexin in the form of a suspension: 2.5 ml for children of the first year of life; 5 ml - from 1 year to 3 years (in 4 doses); 7.5 ml - 3-6 years; 10 ml - over 6 years. The minimum duration of taking this drug is 2-5 days.

It should be remembered that all antibiotics have side effects in the form of dyspepsia, nausea, vomiting, diarrhea, dizziness, allergic reactions and changes in the blood, so if a purulent sore throat without fever occurs during pregnancy or lactation, it is better to do without antibiotics.

Antiseptic lozenges, lozenges and lozenges, such as Strepsils, Faringosept, Astrasept, Hexoral, Falimint, etc., are good for relieving inflammation and sore throat.

For example, Strepsils contains the local antiseptic amylmetacresol and the anesthetic drug lidocaine. For adults and children over 12 years of age, these tablets can be dissolved for acute tonsillitis no more than 5 times a day and no longer than three days. The active component of Faringosept is a strong bacteriostatic ambazon; These tablets are taken half an hour after a meal, and after the tablet is completely absorbed, you should not eat for at least three hours.

For purulent sore throat without fever, aerosols Tantum verde, Hexasprey, Anginovag, Bioparox, etc. are used topically. Tantum verde spray relieves inflammation and acts as an analgesic thanks to the non-steroidal anti-inflammatory drug benzydamine it contains. Hexaspray also has an antiseptic, anti-inflammatory and analgesic effect, which can be used for no more than 5 days.

More information about treatment

Physiotherapy for sore throat How to treat? Antibiotics for purulent sore throat Antibiotics for sore throat


No matter how trivial it may sound, the key point in the prevention of purulent sore throat without fever is strengthening the immune system so that bacteria “residing” in our body or attacking it from the outside do not manage to manifest their pathogenic properties.

It is imperative to avoid hypothermia, consume enough vitamins, cure chronic tonsillitis and promptly treat a runny nose, monitor dental health and observe hygiene rules.

The prognosis for purulent sore throat without fever is positive if it is treated. And if you don’t treat it or treat it with inadequate methods, then from catarrhal tonsillitis to lacunar or follicular tonsillitis, as they say, it’s just a stone’s throw away. And if you do not stop the “activity” of beta-hemolytic streptococcus on the tonsils, it can attack the ears and paranasal sinuses, and also lead to the development of pharyngeal phlegmon.

In addition, according to doctors, the prognosis for purulent sore throat without fever looks much less optimistic if we remember the antibodies that the body produces to fight this streptococcus. However, the connective tissues of the heart and myocardium are often attacked by these antibodies, leading to problems in its functioning. And the waste products of these streptococci - toxins - enter the lymph and systemic bloodstream. And this for the body can result in intoxication, inflammation of the joints and damage to the glomeruli of the kidneys (glomerulonephritis).

In general, purulent sore throat without fever is also a serious disease. Therefore, its treatment should be taken seriously.>

What is the temperature like?

The body reacts to the presence of viruses or bacteria by increasing its temperature. This is a defensive reaction that signals the “invasion” of the infection and the beginning of the process of fighting it. In medicine, the following classification of temperatures is accepted:

  • subfebrile – 37-38 degrees;
  • febrile – 38-39 degrees;
  • pyretic – 39-41 degrees;
  • hyperetic - 41 degrees.

Is it necessary to fight a high temperature with a sore throat, or does it still bring some benefit? Despite the horror that the information on the thermometer causes, especially for young mothers, it is not always necessary to bring down the fever. Its benefit lies in the activation of the enzyme system, which prevents microbes and viruses from multiplying. Low-grade fever for 2 days is not a cause for concern, provided that a doctor’s recommendations on the treatment procedure have been received.

The temperature for sore throat is most often in the range of 37-40 degrees. After treatment is started, after 3-4 days it begins to subside. There are several types of sore throat. They differ in the severity of symptoms, localization features, and possible complications. In addition, each form is characterized by a certain duration of manifestation of elevated temperature:

  • catarrhal – lasts about 1-2 days;
  • follicular – 3-4 days;
  • lacunar – up to 5 days;
  • herpetic – up to 3 days;
  • Simanovsky-Vincent's angina – up to 2 days, maybe without fever at all.

If the reading on the thermometer is below 38.5 degrees, you do not need to take an antipyretic. This will only bring harm, as it will disrupt the body’s natural processes to fight infection. If the thermometer inexorably shows a gradual increase, then you need to take an antipyretic.

Can there be a sore throat without fever, why does this happen?

Sore throat is a disease characterized by an infectious origin. The causes of the disease are the entry of various microorganisms into the body. Causal factors are divided into two groups: primary and secondary. The first indicate that angina is an independent disease. If it arose against the background of a certain pathology, then these are secondary factors.

Happens or not

Most often, inflammation of the tonsils is accompanied by a rise in temperature. This symptom occurs due to the development of an inflammatory process. If the patient has a primary and uncomplicated angina, then the temperature readings are elevated for no more than 2 days.

But there are cases when the disease occurs without a temperature reaction, as a result of which the disease acquires its own distinctive characteristics. In addition, each type of sore throat has its own temperature reactions. For example, the catarrhal form is an uncomplicated variant of the disease (you can read how to treat catarrhal sore throat at the link). Temperatures do not exceed 38 degrees. But the follicular or lacunar form very often occurs with a temperature of 39-40 degrees. Catarrhal or purulent tonsillitis is not characterized by a rise in temperature. This phenomenon is very rare and casuistic. If there is no rise in temperature, then the doctor may suspect a decrease in the overall resistance of the body. In other words, the immunity of a child or an adult is not able to adequately respond to the inflammatory process. Such phenomena occur in patients who are characterized by an immunodeficiency state.

The video explains whether children and adults can have a sore throat without fever:

In purulent form

This type of sore throat is characterized by an inflammatory process without fever. Most often, the patient's diagnosis is called catarrhal tonsillitis. Now it’s worth determining in what cases a purulent sore throat can occur without a rise in temperature, because the disease is infectious in nature.

The main causes of purulent sore throat without fever include the activation of pathogenic microorganisms that have affected the throat. A person can become infected through dishes, cutlery, and airborne droplets. As a rule, the source of infection is streptococcus, which causes acute inflammation of the tonsils. The symptoms of streptococcal sore throat are described here.

Also, the cause of purulent sore throat (both unilateral and bilateral) without fever can be Staphylococcus aureus. This is a gram-positive bacterium that is located on the skin and mucous membranes of the upper respiratory tract. This microorganism is constantly present in the human body, but does not affect his health. But as soon as a person’s immune strength weakens, the bacterium begins to have a pathogenic effect and cause various ailments. One such disease is purulent tonsillitis.

Many otolaryngologists, when making a diagnosis, note in patients a purulent sore throat without fever of mixed etiology. This disease is characterized by damage to the tonsils by streptococci and staphylococci against a background of weakened immunity.

In this case, the source of infection does not necessarily have to be external, since inflammation of the tonsils can occur from an infection that is common in the paranasal sinuses and dental cavities. Chronic tonsillitis, difficulty breathing, fungal infection of the larynx, stomatitis, and syphilis also contribute to the formation of purulent sore throat without fever. Here you can read how to treat purulent sore throat. You may find it useful to know what you can use to gargle with a purulent sore throat.

With follicular form

The follicular form implies a pathological process, which is characterized by symptoms associated with enlargement of regional lymph nodes and the formation of follicles on the surface of the tonsils.

The picture shows symptoms of different types of sore throat.

The main symptoms of this pathology include sore throat while eating and fever. Sore throat is acute. The patient's condition is rapidly deteriorating, as the temperature rise can reach 40 degrees, and the symptoms of poisoning increase.

But there are situations when follicular disease occurs without fever. In this case, the disease in people passes through like a common cold. If follicular tonsillitis is in an advanced form, then it is very dangerous to health.

If follicular tonsillitis occurs without fever, then the patient’s tonsils swell, purulent plaque, inflammation, pain and enlarged lymph nodes occur. When the temperature remains normal, many doctors ignore the sore throat, diagnosing them with a common cold. Delayed treatment leads to severe complications. Such sore throats can cause the development of rheumatism, myocarditis, and peritonsillar abscess.

For lacunar angina

Lacunar tonsillitis is an acute infectious process characterized by local inflammation of the tonsils. Although the tonsils are most often affected, doctors may diagnose patients with inflammation of the pharynx and larynx. Sore throats can be caused by pneumococci, viruses, streptococci and meningococci. Can lacunar tonsillitis occur without fever? This happens very rarely, although such cases have been noted in medicine, because each body responds to infection in its own way.

Lacunar inflammation is characterized by pronounced clinical symptoms. Often, a patient may experience follicular problems due to this disease.

The lacunar form of the disease is characterized by deep damage to the tonsil tissue. Follicles, which belong to the glandular elements of the tonsils, are introduced into the inflammatory process. During diagnosis, it is possible to recognize festering follicles.

They are visible through the mucous membrane and yellowish-formed bubbles in the form of plaque are noticeable. When the follicles rupture, a peritonsillar abscess occurs. The result of this process is phlegmonous tonsillitis, blood poisoning, and streptococcal meningitis. The treatment of lacunar tonsillitis is described here.

The course of the herpes form

Does herpes sore throat occur without fever? Since enterovirus infection is widespread, herpes sore throat deserves special attention. If the disease proceeds without complications, then the body temperature remains within normal limits. On the affected tonsils you can find vesicles, inside of which there is a grayish-turbid content. After a few days, these bubbles open and a defect forms. The duration of the illness is 7 days, and after recovery there are no traces of opened blisters in the oral cavity. Here you can read in detail about the causative agent of herpetic sore throat. The symptoms and treatment of herpes sore throat are described in detail here.

The photo shows a sore throat without fever:

If herpes sore throat is accompanied by a rise in temperature, then, as a rule, it goes away after 2 days and does not cause any complications. If the temperature persists for more than 3 days, then this is a serious reason to consult a doctor for help.

A sore throat, regardless of its form, is an inflammation and can therefore cause a rise in temperature. But it happens that the temperature remains normal. This indicates that the human body is trying to cope with the infection on its own and defeats it.

Symptoms of the disease

The presence of sore throat is indicated by certain symptoms, and treatment, if the diagnosis is established, should be prescribed exclusively by a specialist. Recognizing such a disease, which occurs without high fever, is quite difficult. Symptoms of sore throat:

  • The person feels very weak
  • Headache present
  • The throat hurts, and the pain intensifies when swallowing
  • A clear sign of a sore throat is swollen and red tonsils
  • The lymph nodes become enlarged, and pain is felt when pressing on them.
  • There is a sore throat
  • There may be a whitish coating or purulent discharge on the tonsils

The disease is quite contagious. It can be transmitted from a sick person to a healthy person through airborne droplets. Infection can also occur through household means through shared utensils, towels or hygiene items.

Symptoms may present differently in a child than in adults. Children are characterized by signs of intoxication, which are expressed in lack of appetite, depression and constant drowsiness. There may be copious amounts of saliva. Sometimes seizures occur.

Is there a sore throat without fever, one of the main symptoms of this disease?

Most people in their lives have experienced a sore throat - this is an unpleasant feeling when it first tickles a little, then irritates, and then there is pain when swallowing, discomfort while talking and eating.
The most commonly heard diseases of the ENT organs are sinusitis, laryngitis, pharyngitis, and sore throat. If the first two diseases are more often of a viral nature (less often bacterial), then sore throat is a throat disease mainly of a bacterial nature.

Most often, a sore throat is accompanied by a high rise in temperature. But can there be no temperature?

Since the manifestations of tonsillitis in most cases are very characteristic, questions arise: “Can there be a sore throat without fever if the symptoms include severe pain and a bright red throat upon examination, but there are no other characteristic signs? And is it a sore throat?

It turns out that it happens. And in order to understand and recognize a sore throat in time, in order to quickly take the necessary therapeutic measures, you need to know some of the features of this throat disease.

It is important to know

Sore throat is a highly contagious disease! Even if you do not have a fever with a sore throat, a prerequisite for treatment is to first of all comply with hygienic conditions (separate dishes, towels, bed linen). The best thing is a separate room.

Why there is no temperature with a sore throat: cases of sore throat without fever

There is no temperature with angina in the following cases:

  • With good immunity, when the body is actively fighting the pathogen, the disease may be limited to only a sore throat and a slight sore throat, general malaise, weakness and transient headache, with no increase in body temperature. With timely treatment, the disease can be stopped in 2-4 days.
  • There are cases when there is no body temperature, and other signs of angina make themselves felt for a very long time, the disease is protracted and sluggish, and then complications may suddenly appear.

Categories of people susceptible to such a clinical picture, as a rule, have reduced immunity due to various reasons:

  • Pregnant women due to hormonal changes . Why is there no fever with a sore throat? Because immunity is reduced, and such a protective factor as temperature is absent. If symptoms of a throat disease appear, a pregnant woman needs to take the first steps to prevent further deterioration of her health and immediately consult a doctor.
  • Elderly people . They have a sore throat without fever, since with age the body's defenses decrease, and the immune system becomes not so strong as to produce the necessary protective factors when encountering pathogens. In addition, older people become vulnerable to sore throat pathogens due to the accumulation of chronic diseases of various body systems. The body's defenses exhaust themselves to constantly help the body in conditions of chronic processes. And when a powerful response is needed when encountering pathogenic microorganisms, the immune system does not have enough strength to respond adequately.
  • Absence of temperature with sore throat occurs in immunodeficiency states in patients with HIV, AIDS, hepatitis C, tuberculosis, cancerous tumors, malignant processes in the body. In these conditions, it is more difficult for the body to recognize foreign agents and fight them. Any addition of infection becomes dangerous and long-term.

It is important to know

The absence of fever during a sore throat in cases of decreased immunity is an unfavorable sign, since it is not always possible to recognize the onset of the disease in time and take action. Therefore, if you experience a sore throat, weakness, or malaise, you need to start taking available therapeutic measures and immediately consult a doctor!

So, to summarize: is there a sore throat without fever?

Yes, sometimes. It occurs in a milder form, but can go into a purulent stage and cause complications.

Why is there no temperature with sore throat in some cases?

Sore throat without fever occurs in two cases: with good immunity and with weakened immunity. In the latter case, angina can be more severe and cause complications.>

Why does the temperature not rise with tonsillitis?

A short excursion into anatomy and physiology will help answer the question: can a sore throat occur without fever.

Lymphoid tissue in the upper parts of the respiratory and digestive tract is concentrated in several tonsils, covering the organs in a kind of ring, but most often microorganisms affect the tonsils (palatine tonsils), located on the back surface of the pharynx. Other tonsils are involved in the inflammatory process less frequently, but unpleasant painful sensations of varying intensity and fever in the typical course of the disease are found in all patients. When microorganisms enter the tonsils, they cause swelling of the mucous membrane, which leads to a sore throat. Toxins produced by the microorganism that causes sore throat are actively absorbed into the bloodstream, and in response to their penetration the temperature rises.

In the vast majority of cases, the cause of angina is hemolytic streptococcus, which is present on the mucous membrane of the pharynx and tonsils in an inactive state - in this case, a typical clinical picture of angina is formed.

In some cases, an atypical development of the inflammatory process is possible, and tonsillitis can occur without fever - this option is possible when other pathogenic and conditionally pathogenic microflora are introduced into the tonsils.

Sore throat without fever develops in the following cases:

  • when exposed to a small amount of the pathogen with a good immune response of the body, an inflammatory process with limited local manifestations is formed (catarrhal tonsillitis without sore throat);
  • in women expecting a child, hormonal changes in the body that ensure the development of pregnancy suppress the normal response of the immune system;
  • in patients of the older age group due to a decrease in the activity of anti-inflammatory immunity;
  • with the development of tonsillitis in patients with primary or secondary immunodeficiencies - in this case, the disease proceeds as an asymptomatic sore throat without fever and sore throat, which is not diagnosed in a timely manner and is not treated, which leads to severe purulent complications of the disease.

When answering the question: is there a sore throat without fever, doctors always take into account the possibility of an atypical course of inflammation of the tonsils and recommend that patients seek consultation when the first signs of trouble affecting the throat appear, because the lack of effective pathogenetic therapy aimed at eliminating the pathogen increases the risk of severe post-infectious complications, affecting the heart, kidneys, nervous system, and musculoskeletal system.

Sore throat without fever

Sore throat, or acute tonsillitis, is sometimes not accompanied by an increase in body temperature.
In some cases, this increase is insignificant - up to 37.5˚C (“to subfebrile levels”). An increase in temperature during angina is caused by the release of many substances with biological activity during inflammation of the tonsils, which rearrange the activity of the thermoregulation center in the brain. The biological meaning of fever is to accelerate the death of microbes in an environment with elevated temperatures. Thus, if during a sore throat the body temperature does not increase significantly, it means that the number of microbes that have entered the body is small.

Clinical forms and manifestations

In most cases, a sore throat without fever occurs in the form of catarrhal, that is, accompanied by redness of the tonsils without the formation of pus. In both adults and children, the main symptoms are sore and dry throat. Pain when swallowing quickly sets in, but it is not very severe. Despite normal or slightly elevated temperature, the patient’s general condition deteriorates: performance decreases, fatigue, headache, and a feeling of weakness appear. The child's appetite may decrease, sleep may be disturbed, the child may be lethargic, and sometimes experience nausea and vomiting. Cervical lymph nodes may be slightly enlarged and sensitive to palpation. When examining the throat and pharynx, enlarged, reddened tonsils and palatine arches are visible, their surface is loosened. The tonsils may be covered with mucous or mucopurulent plaque, but films do not form. Within a few days, a sore throat goes away without fever.

Lacunar and follicular tonsillitis without fever are very rare. If such symptoms occur, you should consult a doctor for differential diagnosis with other diseases of the pharynx (burns, chronic tonsillitis, candidiasis of the mucous membranes, and others). A correct diagnosis will help you avoid unnecessary self-medication.

Another type of angina without fever is considered separately - Simanovsky-Plaut-Vincent angina, or ulcerative-necrotic. This disease is caused by microbes that live in the mouth of many people. With weakened immunity, chronic purulent processes in the oral cavity (molar caries), chronic intoxication, protein starvation, these microbes are activated and cause the formation of ulcers on the tonsils. The ulcers are covered with a gray coating that can be easily removed with a spatula. Characteristically, the tonsil is affected on one side. The patient's general condition changes little, body temperature is almost always normal. Symptoms of the disease include drooling, sore throat and bad breath and occur mainly in adults.


Therapy for sore throat without fever includes the same directions as for ordinary sore throat.
The patient must follow a home regime. If this is not possible, you should protect others from infection by using a medical mask. The disposable mask must be changed frequently (every 2 hours). The patient should have separate utensils and personal hygiene items.

It is necessary to limit physical and mental stress, eat easily digestible foods rich in vitamins, and increase the consumption of fermented milk products. It is recommended to drink more liquid, including rosehip decoction, tea with raspberry jam, honey, and lemon.

Sore throat without fever is an indication for taking antibiotics. Treatment includes penicillins in combination with clavulanic acid (Amoxiclav) or macrolides (azithromycin). At the same time, you can take medications that protect the intestinal microflora (Acipol, Linex).

Be sure to gargle with solutions of table salt, furatsilin, baking soda. If desired, you can use drugs with an antibacterial effect - chlorhexidine, miramistin, grammidin, yox and other drugs of different groups.

Anti-inflammatory drugs, such as ibuprofen and its derivatives (Nurofen), can help relieve a sore throat.

Simanovsky-Vincent's tonsillitis is treated mainly by rinsing with a solution of potassium permanganate, furatsilin and other antiseptics; in severe cases, antibiotics are prescribed.>

Sore throats: causes

The main causes of the disease

Sore throat is caused when viruses or bacteria enter the body. The main causative agent of the infectious disease is group A streptococcus.

The infection is transmitted during a conversation with a carrier of the infection, or by sneezing. It can also be transmitted through household contact through household items, clothing, etc. In most cases, sore throat develops in damp and cold weather.

The main reasons for the development of an inflammatory process in the throat:

  • Hypothermia of the body
  • Weakening of the immune system
  • Allergy

Chronic diseases such as tonsillitis, rhinitis, sinusitis can lead to the development of sore throat.


Some signs of a sore throat can be confused with a cold. But unlike colds, sore throat is very difficult to tolerate.

A sore throat for a week is a clear sign of a sore throat.

The main symptoms of angina include:

  • Sore throat
  • Pain when swallowing
  • Ear pain
  • Redness of the mucous membrane
  • Headache
  • Decreased performance
  • Fatigue
  • Increased body temperature

During the examination, mucopurulent plaque and enlarged lymph nodes in the neck area are detected. If the patient feels pain upon palpation, this indicates inflammation in the pharynx. The patient may refuse to eat due to pain. In chronic angina, the same symptoms are observed as in acute angina.


Catarrhal, follicular and lacular sore throat: description and symptoms

Taking into account the severity of the disease, several types of sore throat are distinguished:

  • Catarrhal sore throat. It occurs in a mild form. During the inflammatory process, redness of the tonsils, swelling in the pharynx, dry tongue and plaque are observed. Usually 2 tonsils are affected. The inflammatory process occurs only on the tonsils and does not affect deep tissues. In this case, pus does not appear and this form proceeds more easily. This form of sore throat is contagious. Catarrhal tonsillitis is not characterized by an increase in temperature, but all other symptoms will be observed.
  • Follicular tonsillitis. Characteristic is the appearance of white dots - pustules. They are located on the surface of the tonsils in large numbers. The inflammatory process affects the follicles, which are the main structural elements of the tonsils. The symptoms are the same as for the catarrhal form, but are pronounced. With this form, the tonsils and the back wall of the throat become inflamed. In many cases, the protracted form of follicular tonsillitis turns into lacunar.
  • Lacunar tonsillitis. Unlike other types of disease, it is the most severe. It is characterized by extensive suppuration and damage to the tonsils. Pustules are also present, but unlike the follicular form, they have an irregular shape and form a purulent network. Inflammation occurs not only in the follicles, but also at the mouths of the lacunae. The incubation period is short and lasts only a few days.

With follicular and lacunar tonsillitis, body temperature always rises. The signs of the two types of inflammatory process are similar, but the lacunar form differs in its severe course. All types of sore throat are characterized by the presence of a grayish coating and localization only on the surface of the tonsils.

Symptoms of a sore throat, please! Should there always be a temperature? and is the doctor obligated to give sick leave?



Inflammation of the tonsils is called tonsillitis (in Latin, tonsil - tonsilla). The most common cause of tonsillitis is the well-known acute respiratory viral infections, the common symptoms of which, in addition to fever, cough and runny nose, are a “red” throat and pain when swallowing. There are 2 microorganisms - streptococcus and staphylococcus, which affect the tonsils especially often and in a special way. The disease begins very quickly, with a high temperature, sharp pain in the throat, and pustules (plaques) appear on the surface of the tonsils. This is a sore throat. The frequency with which these two microbes cause it is approximately as follows: 80% - streptococcus, 10% - staphylococcus and 10% - staphylococcus + streptococcus. Once again, the symptoms of tonsillitis: Acute onset, fever; General intoxication (weakness, chills, sweating, loss of appetite, headache); Inflammation of the tonsils - increase in size, redness, plaque, pain in the pharynx, sharply increasing when swallowing. In all organs and tissues, in addition to blood vessels (veins and arteries), there are lymphatic vessels that collect a special interstitial fluid - lymph. No part of the human body can even approximately compare with the tonsils in terms of the number of lymphatic vessels. It is not surprising that the purulent inflammatory process is immediately accompanied by a pronounced reaction of those lymph nodes that collect the lymph flowing from the tonsils. SOLISH is an acute infectious (contagious!) disease. It is the damage to the tonsils that determines the severity of the disease in angina. Sore throat is redness in the pharynx, and pain, and plaque on the surface of the tonsils, and the reaction of the lymph nodes. A sore throat is not a bunch of different diseases; a sore throat is a specific disease that has specific symptoms and is caused by a specific microbe (usually streptococcus). It is very important to note that angina is an acute disease. It cannot last for months, you cannot have it every month. People get infected with tonsillitis - from a person with tonsillitis or from a carrier of streptococcus. You can't get a sore throat just by getting your feet wet. You must first get your feet wet, and then find a person from whom you can get infected (of course, it’s easier to get infected after hypothermia). Sore throat can be treated very successfully and fairly quickly with the correct and timely administration of antibiotics. A sore throat that is not treated at all, or that is treated incorrectly, very often causes complications, since it is streptococcus that affects the heart, joints and kidneys. Let me draw your attention once again: almost 100% of all rheumatic diseases and glomerulonephritis are a consequence of “ordinary” sore throat! In the acute period (until body temperature normalizes), bed rest is advisable - physical activity increases the likelihood of heart damage. Food according to appetite, it is important that the food does not injure the tonsils - broths, purees, etc. The nature of the food is, in principle, obvious - it is difficult to force a patient with a sore throat to eat crackers. The most important rule is to drink plenty of warm water - mineral water, dried fruit compote, 5% glucose solution. Antibiotics! It is important, as always when treating with antibiotics, not to stop treatment immediately after you feel better. This is especially true for angina - a course of treatment of less than 5-7 days greatly increases the risk of complications. At home, it is quite possible to use: decoctions of sage and chamomile, soda and salt solutions (1 teaspoon of baking soda per glass of water, 1 teaspoon of regular table salt per 0.5 liters of water). The optimal temperature of rinsing solutions is 40-50°C, rinse 4-6 times a day. When rinsing, you should not overdo it - too frequent and too intense vibration of the tonsils slows down the recovery processes. But after any meal you should definitely gargle. In case of high temperature and severe pain, aspirin, analgin, paracetamol, etc. are used symptomatically. IN case of sore throat, the DOCTOR MUST GIVE SICK LEAVE. SOLISH, A CONTAGIOUS DISEASE!


temperature is not always, although almost always, symptoms are sore throat, weakness, and when examining the throat, the doctor will see characteristic changes, they are required to give sick leave


Sore throat and fever. Sore throat is very dangerous due to complications. It cannot be carried on your feet. We need to lie down. Sick leave is required.

Yanina Emelina

Yes, there is a temperature with a sore throat, maybe even 39. Yes, the doctor can give you sick leave if you need it.


Swollen tonsils, painful to swallow, very sore throat, temperature, fever. The doctor MUST give sick leave. 100% Sore throat is contagious.


With a sore throat, there is not always a fever... The first symptoms are when the throat begins to scratch... You should never treat a sore throat with hot tea, this causes bacteria to multiply even more... And sick leave should be given if the disease cannot be tolerated on your legs... Usually in hospitals the doctors themselves ask if they need Is it sick leave...

Arina Gershkovich

I have a sore throat, it’s very painful to swallow (food, water,) everything in general hurts.

How does tonsillitis manifest?

Symptoms of sore throat without fever often occur against a background of complete well-being. The severity of other manifestations of the inflammatory process in the tonsils varies depending on the type of pathogen and the state of the patient’s immune system.

Catarrhal tonsillitis is characterized by:

  • moderate hyperemia of the mucous membrane;
  • bilateral damage to the palatine tonsils;
  • mild sore throat that worsens when eating or drinking (clearly associated with swallowing);
  • slight enlargement of the tonsils and their swelling;
  • mucous coating on the tonsils;
  • minimal change in general health - temperature rises to 37 C, no severe headache and loss of appetite.

This variant of the disease often develops in adult patients; the duration of the disease with adequate treatment does not exceed 5–7 days.

Candida tonsillitis is characterized by:

  • bilateral symmetrical damage to the tonsils;
  • no changes in general health;
  • identification of a white cheesy coating on the tonsils, which can be easily removed with a spatula;
  • change in taste;
  • bad breath;
  • drying out of the mucous membrane;
  • slight hyperemia of the mucous membrane.

Fungal tonsillitis without fever develops against the background of widespread candidiasis, and foci of thrush are detected not only in the oral cavity, but also on other mucous membranes (gastrointestinal tract, genital organs).

Ulcerative necrotic tonsillitis is characterized by:

  • unilateral damage to the tonsil;
  • the formation of purulent plaque on the inflamed lymphoid tissue; when you try to remove it, the inflamed mucous membrane is visible;
  • an unpleasant odor that is felt several meters from the patient;
  • the predominance of local signs of angina over general ones.

When identifying necrotizing tonsillitis, a thorough examination of the patient is necessary, because this sore throat develops with pronounced changes in the immune system.

Manifestations of chronic tonsillitis are:

  • noticeable enlargement of the tonsils and palatine arches separating the tonsils from the pharyngeal mucosa;
  • scar changes in surrounding tissues;
  • purulent plugs that persist at the mouths of the lacunae even in remission;
  • pain that occurs upon palpation of the soft tissues of the neck - with exacerbation of tonsillitis, concomitant lymphadenitis (inflammation of regional lymph nodes) often develops.

If the patient complains of discomfort in the throat, aggravated by swallowing, accumulation of pus in the lacunae, which are not accompanied by fever and changes in general health, then these signs indicate chronic tonsillitis.

In this case, it is necessary to treat a sore throat without fever, taking into account the results of flora culture and the sensitivity of microorganisms to antimicrobial drugs.

Is there a sore throat without a sore throat? They diagnose a sore throat; the throat does not hurt, but the temperature is 39 (((



pain may appear later


nooo of course (

Anatoly Alekseev

Most sore throats occur without a sore throat... Alas...


This is the virus that is going around now. I’m also sitting here with a fever, they say sore throat. and my friend got infected from me.


It happens. if the sore throat is lacunar

Maga Pavlovich

Without a sore throat and fever, there is only fungal sore throat. The rest is only pain and fever, this is 100 percent


Yes, it happens without pain, sometimes without fever. Gargle with liquid MALAVIT, just dilute it 1 to 3. And you’ll be fine. Better yet, buy tea tree oil at the pharmacy and lubricate your tonsils, the inflammation will go away immediately.

Causes of the disease

First of all, the cause of the disease is a special pathogen, which, in the case of catarrhal tonsillitis, is most often the staphylococcus bacterium. The absence of temperature explains the fact that when the tissues of the palatine tonsils become inflamed, suppuration does not form, and, therefore, the body does not need to fight them with increased temperature. In addition, a certain amount of this type of bacteria can remain in the human body for quite a long time without causing harm to it, therefore, when it grows, the body’s protective reactions do not always work correctly. Therefore, a sore throat caused by staphylococcus can occur without an increase in temperature.

An interesting feature is that without a jump in temperature there can even be a purulent sore throat. Although, by the very definition, it is clear that with this type a plaque containing purulent masses can form, such a scenario is not uncommon. With timely and proper treatment, such a disease lasts no more than three to five days without the formation of purulent plugs.

The answer to the question of whether a sore throat without an increase in temperature is contagious to others is obvious. Like all other types of disease, catarrhal tonsillitis is extremely contagious. Its transmission is carried out by airborne droplets or food through contact with a sick person. The great danger of this type of acute form of tonsillitis is that, if the disease is incorrectly diagnosed, neither the sick person himself nor the person next to him may be unaware of the presence of such a dangerous infectious disease. Such a sore throat without fever is often the cause of massive infection in people.

Factors such as a stressful environment, weakened immunity, bad habits, and exposure to chronic diseases accelerate the process of infection and development of the disease. Under such conditions, even slight hypothermia or contact with a sick person will provide excellent soil for the development of sore throat.

Treatment of sore throat

Treatment of tonsillitis begins only after identifying the pathogen. At the first symptoms of illness, the patient needs bed rest. Antibacterial and other medications are prescribed only by a doctor and only after a comprehensive diagnosis.

This is especially true if we consider that sore throat without fever is observed in people with reduced immunity, and these include those who suffer from tuberculosis, AIDS, hepatitis, etc. These categories of patients should be very careful about the potent drugs that will need to be taken for tonsillitis.

This is due to the fact that:

  • Medications already taken during maintenance therapy will interact with anti-angina medications.
  • The patient’s body is already weakened, and uncontrolled use of antibacterial agents can cause additional complications.

Treatment time depends on the severity of symptoms and the pathogen identified.

Physiotherapeutic treatment

If there is no fever with a sore throat, then physiotherapeutic methods can be used. In case of enlargement of regional nodes, alcohol compresses are applied to the painful areas and UHF. Also, for tonsillitis, inhalations of medicinal herbs and mineral water with a high salt content are prescribed.

Rinsing and irrigation

For a sore throat, it is recommended to gargle:

  • furatsilin,
  • Miramistin,
  • alcohol solution of Chlorophyllipt,
  • decoctions and infusions of herbs,
  • nitrofural solution,
  • hydrogen peroxide,
  • Lugol.

After the gargling procedure, the patient should refrain from eating and drinking for a couple of hours. During the day, you need to carry out 5-6 sessions until the pain symptoms disappear, then reduce the number of rinses to 3. Rinsing is considered an effective way to combat tonsillitis.

Sprays and aerosols successfully relieve pain and inflammation by disinfecting the throat. The choice of drug for irrigation is determined by the pathogen that led to the disease. For example, for viral tonsillitis, the throat is irrigated with interferon.

In other cases use:

  • Tantum Verde,
  • Hexoral,
  • Inhalipt,

  • Orasept,
  • Faringosprey.

Lubricating the mucous membranes of the tonsils

The choice of drug for lubricating the tonsils is determined by the type of pathogenic microorganisms.

For fungal tonsillitis, the tonsils are lubricated with solutions:

  • terbinafine,
  • natamycin,
  • aniline dyes,
  • batrafen,
  • silver nitrate (5%).

In other cases, the tonsils are treated with antiseptic medications (Lugol, Chlorophyllipt, hydrogen peroxide, etc.). This is especially true when treating young children, because... they don't know how to gargle yet.


For angina, inhalations are useful, but not steam inhalations, but those performed using a nebulizer. They provide local treatment of the site of inflammation and counteract the further development of the disease.

Rules for inhalation:

  1. Maximum procedure duration:
      5 minutes - for children;
  2. 10 minutes - for adults.
  3. The number of procedures per day depends on the severity of the pathology and ranges from 2 to 6.
  4. Before and after inhalation you do not need to eat for half an hour or an hour.
  5. When treating tonsillitis during a session, you need to breathe only through your mouth.
  6. Any product must be mixed with saline in the proportions recommended by the doctor.

Medicine for sore throat must be prescribed by a doctor.

The most commonly used means are:

  • furatsilin solution,
  • Miramistin,
  • Chlorophyllipt,
  • Tonsilgon N,
  • Cromohexal,
  • Dioxidin,
  • propolis tincture.


Tonsillitis involves complex therapy using topical medications and antibiotics.


Tonsillitis is an acute infectious disease, so antibacterial therapy plays a key role in its treatment. If there is no fever, this does not mean that pathogens are inactive.

For tonsillitis, the following antibiotics are prescribed:

  1. Penicillins (they are mainly prescribed).
  2. Cephalosporins.
  3. Macrolides.

The last two types of medications are prescribed if a person is allergic to penicillin.

As for the names, most often the following are prescribed for angina:

  • Flemoxin (penicillin),

  • Ampicillin,
  • Amoxicillin,
  • Ceftriaxone (cephalosporin),
  • Cephalexin,
  • Clarithromycin (macrolide).


For angina, the use of anti-inflammatory lozenges is indicated. They are necessary to disinfect the throat and reduce inflammatory symptoms.

Such drugs include:

  • Strepsils,
  • Septolete,
  • Sebidin,
  • Lizobakt,
  • Faringosept,
  • Decathylene,
  • Grammidin,
  • Efizol,
  • Falimint,
  • Strepfen,
  • Neo-angina.

Lozenges for tonsillitis should be prescribed by a doctor, since some throat lozenges, positioning themselves as full-fledged medicines, only relieve pain symptoms, but do not actually cure.


For sore throat without fever, it is necessary to take antihistamines:

  • Suprastin,
  • Lordestin,
  • Zodak,
  • Diazolin, etc.

The choice of drug is determined by the severity of symptoms and the general condition of the body. But you should take anti-allergy medications, because... they will reduce the possibility of side effects. For such purposes, it is best to use Diazolin.


Since sore throat without fever is often associated with reduced immunity, for a complete cure it is worth taking immunomodulators.

The most prescribed immune drugs for angina include:

  • Interferon,
  • Lykopid,
  • Kagocel,
  • Arbidol,
  • Amiksin,
  • Viferon,
  • Genferon (prescribed mainly to children),
  • Derinat (as a rule, this drug is prescribed to children after treatment to maintain the general condition of the body),
  • Anaferon,
  • Imudon,
  • Cycloferon,

  • Ergoferon.

Needle aspiration

Needle aspiration for sore throat without fever is rarely used, because Most often, phlegmonous tonsillitis with the formation of an abscess is treated in this way, and it usually occurs with a significant increase in temperature. Aspiration involves using a special needle to puncture the abscess (the pus is removed using a syringe), and then the removed fluid is sent to the laboratory to determine the pathogen and its reaction to different types of antibiotics.

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