La Faringite nei bambini

La faringite nei bambini

La faringite, una delle patologie più comuni nei bambini, è una infiammazione della faringe, la parte posteriore della gola, tra le tonsille e la laringe. La faringite si verifica prevalentemente in inverno e primavera anche se esistono forme che possono insorgere tutto l’anno.

CAUSE
sono numerose, ma le più comuni sono batteri:

  • Streptococchi ß- emolitici
  • Streptococcus pyogenes
  • Mycoplasma
  • Chlamydia

e virus:

  • Adenovirus
  • Rhino virus
  • Virus parainfluenzale
  • Virus influenzale

SINTOMI

Il sintomo principale è il mal di gola associato a dolore a deglutire e malessere; inoltre si può avere un rigonfiamento dei linfonodi del collo, mal d’orecchio, febbre. A seconda della gravità dell’infezione la mucosa orofaringea può essere solo infiammata (rossa) o anche ricoperta da un essudato purulento (pus). In base al suo decorso la faringite si può distinguere in faringite acuta e faringite cronica, ma nel bambino prevale la forma acuta anche quando è una recidiva. Nella faringite acuta l’infezione è generalmente di tipo virale ed è spesso una conseguenza di un’infiammazione di un altro sito delle via aeree.

DIAGNOSI:

La diagnosi generalmente si basa sull’esame obiettivo (visita medica). Gli esami (per esempio tampone faringeo) possono essere fatti per escludere lo streptococco. Soltanto conoscendo le cause infatti si può procedere verso una terapia risolutiva.

TERAPIA

Il trattamento dipende dalla causa del mal di gola. Gli antibiotici dovrebbero essere prescritti solo se è stato diagnosticato lo streptococco; in realtà, benché la maggior parte delle forme di faringite del bambino non abbiano una causa batterica, gli antibiotici vengono prescritti molto spesso. Le faringiti di origine virale infatti, tendono ad una risoluzione spontanea nel giro di pochi giorni ed è sufficiente un trattamento sintomatico:

  • assumere antinfiammatori tipo ibuprofene o paracetamolo per ridurre il dolore e la febbre
  • bere abbondanti liquidi
  • succhiare caramelle balsamiche (se l’età lo consente), con un lieve effetto disinfettante e antidolorifico

PROGNOSI

La maggior parte dei casi di faringite passano da soli senza complicazioni.

COMPLICANZE

10-20 giorni circa dall’esordio dell’infezione in casi rari, si possono verificare complicanze come: la febbre reumatica acuta, la glomerulonefrite, ascesso alle tonsille o dietro la faringe.

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