Syphilitic angina case history. Syphilitic tonsillitis is a symptom of a dangerous disease. Papular syphilide of mucous membranes

16.02.2022 Treatment

Angina syphilitic occurs during and is a combination of inflammatory processes in the organs of the oropharynx. The tonsils are most commonly affected. Let us consider in more detail what syphilitic is and the types of the disease, as well as possible methods of treatment and prevention.

Types of syphilitic tonsillitis

There are three types of disease:

  1. Syphilitic papular angina. It is accompanied by the appearance of papules on the tongue, pharynx and mucous membrane of the tonsils.
  2. Syphilitic pustular ulcerative angina. During the disease, pustules form on the mucous membrane of the pharynx. In the future, their ulceration occurs.
  3. Syphilitic erythematous angina. This type of disease is accompanied by mucosal edema and total hyperemia.

Causes of syphilitic tonsillitis

As mentioned above, syphilitic sore throat is part of secondary syphilis. Therefore, it is not worth making a lot of effort to understand what the ways of infection can be.

First, syphilis can be transmitted sexually and through contact with blood. Although infection can occur when using the patient's personal belongings.

Secondly, the cause of the disease can be reduced immunity. Scientists conducted a study that showed very interesting results. It turns out that in people with strong immunity, the probability of not contracting syphilis through any type of contact is about 25 percent.

As statistics show, syphilitic sore throat most often occurs after oral intercourse.

Syphilitic angina: symptoms

How does this disease manifest itself? At the very beginning, patients do not even realize that they have syphilitic tonsillitis. The incubation period of the disease can be up to one month, and only after this period, the tonsils begin to turn red and slightly increase in size. Up to this point, the pathology can be mistaken for a common cold.

If the infection occurred through sexual oral intercourse, syphiloma occurs on one of the tonsils, and manifestations of inflammatory processes begin to be observed.

In the future, the size of the lymph nodes on the affected side increases. It is at this stage that the symptoms of the disease are most noticeable and palpable. If during the previous period, which lasted about a month, the patient could be disturbed only by a slight sore throat, now syphilitic angina is beginning to gain momentum. It appears not only during swallowing, but also at rest, small ulcers form on the tonsils, the body temperature rises.

At this point, it is important to contact the clinic in time to diagnose and prescribe the necessary treatment, since syphilitic tonsillitis can cause a number of complications and provoke many diseases of the whole organism.

Diagnosis of syphilitic angina

First of all, the doctor will examine the patient. An experienced specialist will pay attention to the mucous membrane, which has acquired a bluish tint. In addition, it is impossible not to notice the appearance of ulcers and other changes on the tonsils.

Next, several laboratory tests are carried out, with the help of which it is possible to determine the pathogen virus and establish the final diagnosis. These include the analysis of a smear from the surface of the tonsils and punctures from the lymph nodes. In addition, the Wasserman reaction is mandatory.

Treatment of syphilitic angina

How to get rid of such a disease as syphilitic sore throat? Treatment involves complex therapy. It will include the elimination of syphilis itself and its accompanying complications.

Be sure to prescribe antibiotics from two groups that differ in action ("Penicillin", "Augmentin", "Amoxiclav" and "Clarithromycin" or "Azithromycin"). Treatment with them can be one month, and in case of special indications, it can be extended until the moment of recovery. At the same time, during long-term therapy, it is recommended to additionally take antifungal drugs, for example, Nystatin or Fluconazole.

To get rid of such a phenomenon as syphilitic sore throat, gargling with antiseptic solutions is carried out. The most powerful drugs in this regard are Chlorhexidine and Miramistin. Depending on the nature of the inflammatory process, it is necessary to gargle up to 5 times a day. At the same time, along with the elimination, local immunity is also stimulated, which contributes to the speedy healing of the mucous membrane and prevents the appearance of scars.

Soda, iodine, thyme, chamomile, eucalyptus, and so on can also be added to the above solutions for gargling. In addition, inhalations with medicinal plants can be carried out.

To get rid of other unpleasant symptoms, it is necessary to take non-steroidal anti-inflammatory drugs to eliminate pain symptoms and reduce temperature. If complications occur, symptomatic therapy is carried out.

Disease prevention

How to protect yourself from such trouble as syphilitic sore throat?

There are several simple preventive measures:

  • compliance with the rules of personal intimate hygiene;
  • avoiding casual sex or using condoms;
  • having sex with unfamiliar partners only with a condom;
  • in case of suspicion, an examination by a venereologist.

Take care of yourself and be healthy!

Angina does not necessarily appear when the immune system is weakened. Among its species there is one that is caused by a pale spirochete. Any sore throat is characterized by a high body temperature. An acute inflammatory process invariably provokes tissue swelling and a sharp sore throat. Syphilitic tonsillitis also has specific features that make it possible to distinguish this type of disease from others.

Redness of the throat and dry mouth gradually develop into a swelling. In the absence of treatment or improper treatment, it disappears on its own, simply turning into a large ulcer. Under the influence of the pathogen, the oral cavity is covered with a gray rash. The palate takes on a reddish-blue tint.

The cervical lymph nodes are seriously compacted, but do not respond with pain to attempts to probe them. Among the specific symptoms, the formation of chancres is also noted. Ulcers are located on the tonsils. Their edges are usually uneven, and the bottom is dense. In the presence of such signs, a sample of the contents is necessarily taken for analysis. The presence of a pale spirochete confirms the diagnosis.

Determining the stage of the disease

The success of treatment depends on the correct determination of the stage of the disease. In some cases, a hard chancre, clearly signaling the source of the problem, may go unnoticed for a long time. For example, its location is the amygdala. Obvious signs of the inflammatory process in the form of redness are generally ignored by smokers in the absence of pain. Syphilitic angina is dangerous for its slow development, passing through 4 stages.

The incubation period is usually within a month, but taking antibiotics can significantly slow down the development of the disease. There are no obvious symptoms at this stage.

The appearance of seals, called chancres, is a signal of the transition of angina to the primary stage. Even one chancre a couple of millimeters in size is a serious reason to immediately consult a doctor. Chancre gradually turns into an ulcer. It is constantly growing, capturing new areas, both next to the formation and under it. At the bottom of the ulcer, abscesses begin to form. When contacting a doctor at this stage, laboratory tests are carried out to exclude chancriform pyoderma and traumatic ulcer in order to start appropriate treatment.

The secondary period is characterized by a sharp deterioration in well-being. The number of rashes increases many times. A rash may also occur on the skin. When examining a patient who has applied with similar symptoms, a specialist must exclude aphthous stomatitis, herpetic sore throat and pharyngitis.

The beginning of the tertiary period is associated with the appearance of painful nodes. They quickly turn into bleeding ulcers. Each of them takes at least three months to heal. If the patient is careless about his health, he did not notice the symptoms of the previous stages. He began to be disturbed only by the appearing ulcers, then the doctor, before starting treatment, would have to conduct research in order not to treat the patient with syphilitic tonsillitis from:

  • throat tuberculosis,
  • cancer at the stage of tumor decay,
  • ulcerative necrotic angina.

Features of treatment

Treatment of syphilitic angina begins with an appeal to a specialist. He makes an accurate diagnosis, determines the degree of development of the disease and prescribes the appropriate treatment. As with ordinary angina, the patient needs bed rest and rest. Drinking plenty of water and high-calorie foods help to remove toxins from the body. It is not necessary to drink only water, sweet tea, compotes, fruit drinks, juices successfully cope with the task.

Treatment consists of two groups of drugs. Some help to cope with the symptoms, the second - with the cause of the disease.

Hot drinking and rinsing helps to relieve pain. Any antiseptic solutions are suitable for rinsing. The most popular are furatsilin, potassium permanganate, soda and chlorhexidine. Especially carefully should be treated areas with a large accumulation of rashes. Disinfectant solutions soothe the mucosa, clean its surface and slow down the spread of the rash.

Alternative medicine recipes can also be used for topical treatments. For rinsing, decoctions of marigolds, calendula, sage and chamomile are prepared. Flowers are poured with boiling water, covered with a lid and wrapped in a towel. As soon as the liquid becomes slightly warm, it is used for medicinal purposes.

The mainstay of treatment is antibiotics. Preference is given to drugs of the penicillin group, macrolides and potent broad-spectrum antibiotics. Depending on the stage of the disease, amoxicillin, intramuscular injections of penicillin, erythromycin, or azithromycin may be prescribed. In severe forms, aminoglycosides and tetracyclines come into play. Powerful, they pollute the body with dangerous toxins. The general recommended treatment regimen is adjusted individually for each patient. Susceptibility to drugs, the effectiveness of the chosen course, the stage of the disease and other features are taken into account.

Taking antibiotics must be accompanied by a parallel course of vitamins. Self-selection of drugs, their change without a doctor's prescription or irregular intake gives a result opposite to the expected one. In most cases, such actions of the patient lead to complications of the disease, increase the duration of treatment.

High fever and acute pain are relieved with antipyretic and analgesic drugs. It is recommended to use only those prescribed by the attending physician. Otherwise, you can create an additional burden on the body or reduce the effectiveness of essential medicines.

Often the list of drugs for syphilitic sore throat is also expanded with drugs designed to maintain normal cardiac activity. They are rarely dispensed with in the third stage, but the need for them may arise much earlier.

It's important to know

At home, with regular visits to the doctor, syphilitic tonsillitis is allowed to be treated only in the first stages. If the disease has passed into a serious form or a complication has arisen, a stationary regimen will be required. At the slightest suspicion of this type of angina, you should immediately seek medical help.

In pregnancy less than 18 weeks, the mother is treated according to the standard scheme. In later pregnancy, benzipenicillin is used. It is placed intramuscularly according to a special scheme. Lack of treatment or delay threatens to infect the fetus through the placenta. If there is no miscarriage or stillbirth, then the baby is born with congenital syphilis.

For the treatment of children, a course of penicillin is used, which is repeated three times within a month. Treatment cannot be carried out without general strengthening drugs, immunostimulants and vitamins.

Experiments with antibiotics and a frivolous attitude to the disease leads to its deep penetration into the body. In this case, it will not be possible to completely get rid of it.

Angina - an infectious disease that has become familiar to many - can occur not only in the form of inflammation of the tonsils with catarrhal phenomena and pus. Sometimes a person's sore throat is secondary, that is, it is superimposed on the underlying disease or becomes its symptom. For example, syphilitic tonsillitis is a manifestation of the venereal disease of syphilis, and this pathology proceeds for a long time and is difficult to cure.

Characteristics of the disease

Syphilis is an infectious disease caused by infection with Treponema pallidum. The inflammatory process in syphilis can cover not only the genitals, as many mistakenly believe, but also the oral cavity and tonsils, leading to the development of tonsillitis.

According to the definition, syphilitic tonsillitis is a complex of pathological changes in the throat (pharynx) against the background of secondary syphilis. The disease can exist in several forms:

  • papular angina - characterized by the appearance of papules on the tonsils, tongue, pharynx;
  • pustular-ulcerative angina - accompanied by the formation of pustules, which then ulcerate;
  • erythematous angina - sharply limited erythema forms on the mucous membrane of the throat.

The disease almost always leads to the appearance of a rash (syphilis) on the oral mucosa, and a person can confuse the manifestations of the disease with stomatitis and fight it for a long time with folk or conservative methods.

Causes of infection

Some researchers believe that pale treponema can enter the body even through intact mucous membranes, but still, in most cases, abrasions or any other violations of the integrity of the surface tissues of the oral cavity occur. The most dangerous in terms of infecting other people are people with active manifestations of syphilis of any form, especially those who have a large number of syphilides on the genitals or in the oral cavity.

Clinical picture

Usually the disease does not begin acutely, accompanied by a blurred clinical picture. Patients often think that they caught a cold, or “caught” SARS. Local changes in the throat include several stages of development:

  1. Incubation period (no more than 30-40 days). At this time, there are no symptoms in the pharynx, but by the end of incubation, there may be a slight hyperemia of the palatine arches, an increase in the size of the tonsils.
  2. primary syphilis. The duration of this period is 6-7 weeks. The first benign neoplasm (syphiloma) may appear in the pharynx, and the tonsil on the side where syphiloma is present also increases and becomes inflamed. In addition, there is a strong growth of lymph nodes in size (up to 2-3 cm). Usually, there is no pain syndrome at this stage, and enlarged lymph nodes also do not give discomfort.
  3. Secondary syphilis. After infection, more than 2.5 months pass, and the disease is “gaining momentum”. Small round rashes appear on the tonsils and throughout the oropharynx, including the soft palate, the entire mucous membrane becomes bright red. Symptoms of syphilitic tonsillitis at this moment are most pronounced.
  4. Tertiary syphilis. The soft palate becomes red-bluish. Tubercles (gummy tumor-like formations) form on the throat, which, after necrosis, transform into ulcers with a hard, dense bottom covered with a greasy coating. From ulcers, the infection spreads to soft tissues, bones, nerves, etc.

The clinical picture of the pathology during the period of secondary and tertiary syphilis is on the rise. It may include the following features:

  • subfebrile temperature in primary and secondary syphilis, reaching 38-40 degrees by the peak of the development of the disease;
  • discomfort in the throat;
  • dry mouth;
  • difficulty in swallowing;
  • with the formation of ulcers - severe pain in the throat;
  • increased salivation;
  • difficulty in moving the tongue due to increased density and size of the tonsils.

Complications of syphilitic angina

With poor oral hygiene, syphilitic tonsillitis is often complicated by a bacterial infection, fusospirochetosis. The oral cavity and tongue after treatment or spontaneous healing of ulcers can be covered with scars, which further interfere with eating, speaking, swallowing saliva.

Diagnosis of the disease

An experienced doctor immediately recognizes the disease already at the stage of formation of syphiloma (hard chancre), which is most often located on the tonsil. Laboratory confirmation of the disease is required, for which the following tests can be performed (in the absence of a positive result, in combination with a characteristic clinic, tests are performed three times):

  • smear from the tonsil;
  • puncture of the lymph nodes;
  • a blood test for the Wasserman reaction or for sedimentary reactions (they make sense one month after the formation of a hard chancre).

Treatment Methods

Therapy of the disease is carried out under the supervision of a venereologist, in severe cases it is carried out in a specialized hospital. Usually, those procedures for treating the throat, which do an excellent job with infection in simple acute tonsillitis, are ineffective in syphilitic tonsillitis. This disease flows for a long time, and its therapy is quite complex and often multi-stage.

Treatment should begin with the use of antibiotics in injections (Penicillin, Amoxicillin), or macrolides (Erythromycin, Rovamycin, Azithromycin). In the second and third stages of the disease, other potent and sometimes toxic drugs are added to these drugs - aminoglycosides, tetracyclines, etc. Treatment in the absence of results may include several courses of antibiotics with a change in the names of drugs, regimens and drug combinations. Other methods of therapy are only symptomatic, however, they are necessarily used as an addition to the main course:

  1. Gargling with a solution of potassium permanganate, boric acid, Miramistin, Chlorhexidine, water with soda. To moisten the pharynx with severe dryness, rinsing the oropharynx with herbal infusions, herbal medicines Akvirin, Romazulan is allowed.
  2. Alkaline inhalations, irrigation of the pharynx with preparations based on sea salt solutions to alleviate pain, perspiration, if such symptoms occur.
  3. A plentiful drinking regimen, a sparing diet to remove toxins and reduce the burden on the body.
  4. Antipyretics and NSAIDs for severe pain, fever, inflammation.
  5. Medicines to support cardiac activity.

It is not recommended to delay treatment for syphilitic sore throat, because at a certain stage it will be impossible to completely rid the body of its consequences!

Features of treatment in children and pregnant women

During pregnancy, syphilis is often transmitted to the fetus through the placenta, and without treatment, complications can be very serious - up to a quarter of cases end in miscarriage, stillbirth, and 70% of children develop congenital syphilis. That is why pregnant women are tested for syphilis throughout gestation. Until the term of 18 weeks, treatment of pregnant women is carried out similarly to that of non-pregnant women. At a later date, at any stage of syphilis, antibiotics (usually Benzylpenicillin) are administered intramuscularly to a woman according to certain schemes.

Children with early syphilis of the throat of a congenital type are given 3 courses of treatment with Penicillin for a month. Penicillin-based drugs are also used in the treatment of a child of a later age, who could become infected from his parents. Be sure to additionally prescribed vitamins, immunostimulants, restorative agents. Please read how to treat sore throat during late pregnancy

Disease prevention

The main measure to prevent the disease is the observance of hygiene of sexual relations, as well as personal hygiene. The lack of mechanical contraception when in contact with an infected person carries a high risk of contracting syphilis, so each person must take care of their own health and refuse unprotected sex. If there is a patient in the family, he is obliged to use his dishes, hygiene products, towels, underwear, avoid close communication, kisses with healthy people until recovery. Pregnant women are always examined three times for syphilis to prevent congenital infection of the fetus. If a woman had syphilitic tonsillitis before gestation, additional treatment has been developed for more reliable prevention of the disease in an infant.

In the next video, Elena Malysheva will talk about other symptoms of syphilis.

Syphilitic tonsillitis develops in the second stage of venereal disease, has the appearance of negative processes in the mucous membranes of the throat. In most cases, the pathology is severe, affecting mainly the tonsils. The disease causes acute discomfort to the patient and requires long-term treatment.

How infection occurs

The causative agent of syphilis of the throat is a pale spirochete contained in the liquid media of a sick person. The main causes of infection are:

  1. Unprotected oral sex or kissing with a carrier of the disease.
  2. Use of personal items of the infected person containing the remains of his saliva (dishes, toothbrush).
  3. Passage of dental procedures in insufficiently sterile conditions.

Another way of infection is the transmission of infection from mother to newborn child during childbirth or breastfeeding.

The incubation period for throat syphilis ranges from a few weeks to 6 months. Most often, the first signs of infection appear a month after the penetration of the pale spirochete into the human body.

Varieties of syphilitic angina

Syphilitic tonsillitis is divided into 3 types. Depending on the area of ​​localization of pathological changes, it can be:

  • erythematous;
  • pustular-ulcerative;
  • papular.

Erythematous angina provokes an abnormal increase in capillaries on the mucous membrane of the oropharynx. With the development of the pustular-ulcerative form, purulent pustules formed in the oral cavity take the form of painful ulcers. Papular tonsillitis is characterized by the formation of a specific rash (papules) on the palate, tongue, pharynx and tonsils.

Stages of development and symptoms of the disease

Syphilitic tonsillitis can occur in 3 stages:

  1. The first - lasts about 6 weeks, is accompanied by an increase in lymph nodes, the appearance of swelling in the tonsils. At this stage, the pathological process predominantly affects one side of the oropharynx. The palate is distinguished by a red-blue tint, covered with a grayish rash. Throat color remains normal.
  2. The second - takes up to several months from the moment of infection. At this stage, rashes in the oral cavity are clearly visible in the patient, t of the body increases, and general well-being worsens. In parallel, other organs and systems of the body are affected - joints, eyeballs, central nervous system.
  3. The third stage is distinguished by a cyanotic color of the palate, tuberosity of the mucous membranes, dry mouth. At this stage, the infection actively spreads to soft tissues.

In the last two stages, swallowing is extremely difficult and painful, temperatures can reach 39-40 ° C, the patient feels itching and dryness in the throat, a characteristic cough appears. Tonsils, significantly increasing in size, make it difficult for the tongue to move in the mouth. Swallowing food or talking, the patient feels a sharp pain. On the mucosa, a characteristic symptom of syphilitic tonsillitis appears - gummas, gradually acquiring the appearance of ulcers.

In the absence of the necessary therapeutic measures, syphilis of the throat of the second stage can last up to several years. At the 3rd stage of the development of the disease, gummas affect not only the oropharynx, but also vital internal organs, nerves, and skin.

Complications and consequences of the disease

Angina, which occurs with syphilis, can cause various severe complications, including:

  • fusospirochetosis, leading to anaerobic necrosis (progressive necrosis of the tissues of the oropharynx);
  • glossitis (inflammation and erosion of the tissues of the tongue);
  • damage to the central nervous and musculoskeletal systems;
  • dysfunction of the kidneys and liver;
  • tuberculosis of the pharynx;
  • oncological processes in the oral cavity.

As a rule, this happens in case of neglect of medical measures and non-compliance with personal hygiene during the development of syphilis. In such a situation, the patient has an increased risk of scarring on the tongue, palate, gums, causing significant discomfort during speech, eating.

The development of severe complications of syphilitic tonsillitis requires a long stay of the infected person in the hospital, under constant medical supervision.

Diagnostic measures

Diagnosis of syphilitic angina begins with a visual examination by a specialist of the oral cavity and pharynx of the patient, palpation of the lymph nodes. The doctor pays attention to the nature of the rashes and formations, the color of the mucous membrane of the oropharynx.

An obligatory step is to conduct laboratory tests using the patient's biomaterial. The patient is assigned:

  1. Sampling of venous blood for the Wasserman reaction (this method becomes the most informative 4 weeks after the formation of a hard chancre).
  2. Taking a smear from the surface of the affected tonsils.
  3. Puncture from inflamed lymph nodes.
  4. Delivery of a general blood test.

Before proceeding with the selection of effective methods of treatment, differential diagnosis is carried out. At the initial stage, it is important to exclude the presence of catarrhal tonsillitis, at the stage of the appearance of a syphilitic rash - pharyngitis, herpetic, strepococcal, candidal tonsillitis, aphthous stomatitis. At a later stage, the disease is differentiated from oncology, tuberculosis of the pharynx.

Methods of treatment

The main method of combating syphilitic sore throat is antibiotic therapy. Treatment is carried out using potent medicines prescribed in the form of injections and tablets:

  • drugs of the penicillin series (Retarpena, Bicillin);
  • cephalosporins (Ceftriaxone);
  • macrolides (Azithromycin, Clarithromycin);
  • fluoroquinolones (Ofloxacin, Ciprofloxacin).

The use of antibiotics takes from 14 days to several months. A long period of treatment with such drugs causes intestinal dysbacteriosis in most patients, and therefore probiotics are prescribed in parallel - means to restore the intestinal microflora. Most often, doctors recommend taking Bifidumbacterin, Linex, Laktovit.

Local treatment of syphilitic angina includes irrigation of the oropharynx with aerosols containing antibiotics, inhalation with antiseptic solutions and essential oils. For gargling, decoctions and tinctures of medicinal herbs are used - eucalyptus, sage, chamomile, calendula, pine. Of the pharmaceutical preparations, Furacilin, hydrogen peroxide will become effective.

With an increase in body temperature, antipyretic drugs (Ibuprofen, Nimesulide) are used. In order to speed up the onset of recovery and maintain the body's immune system, patients are prescribed general strengthening complexes with vitamins and minerals.

During the treatment period, abstinence from sexual intercourse, adherence to the principles of dietary nutrition, and the use of a sufficient amount of liquid are mandatory. The patient should use individual hygiene products and utensils.

At the end of the therapeutic course, a control examination is carried out. If necessary, a change in drugs and additional treatment is carried out.

In some situations, the patient may be recommended surgical treatment. Operations for syphilis of the throat are performed in cases of development of perichondritis, stenosis or abscess of the larynx.

Forecast and prevention of infection

With timely therapy, the chances of a positive prognosis and a complete cure for syphilitic tonsillitis increase significantly. In advanced cases, the disease is subject to treatment for several years, and causes irreversible negative changes in the body.

To prevent infection with a dangerous infection, you will need to follow the basic principles of prevention:

  • avoid promiscuity;
  • follow a balanced diet, observe daily personal hygiene;
  • periodically undergo preventive examinations for the presence of syphilis.

In case of doubtful sexual contact, including oral, it is recommended to wash the genitals and rinse the mouth with antiseptic agents (Miramistin).

For the period of treatment, family members of the infected person must limit all contacts with him, exclude the use of personal items of the carrier of the infection and undergo an examination for infection with syphilis.

Syphilitic angina is a disease that occurs infrequently. But every person has the opportunity to get sick with this disease. The disease is caused by a virus - pale treponema. This pathogen is the cause of human infection with syphilis. Such a sore throat is a sign of primary syphilis, which a person is infected not through sexual contact. Over time, other symptoms of the virus develop.

Causes of the disease

The main route of infection of syphilitic tonsillitis is oral. Infection can occur through the use of poorly washed dishes, the use of dirty personal hygiene items, through dirty hands. The sexual route of infection leads to the development of syphilis and, as a result, a specific type of disease.

Important! Oral sex is a common cause of syphilitic sore throat.

Possible infection through the blood. If wounds are observed on the body or in the mouth, then the virus can enter the human blood through dirty hygiene products.

A newborn baby can become infected with this disease during the birth process. There are known cases of infection with this type of ailment in dental offices due to poor processing of medical instruments.

Reduced immunity can contribute to infection with this virus. Doctors have proven that people with good immunity in 25% do not become infected with the disease, even in the case of contact with the treponema virus.

Symptoms of the disease

Mainly associated with inflammatory formations of the throat. Unlike other species, the syphilitic form does not begin to appear in an acute form. On the first day, the patient may think that he is starting a classic. During illness, body temperature most often does not rise above 37.5 degrees. Symptoms of the disease:

  • Sore throat when swallowing;
  • The appearance of erosions and wounds on the tonsils;
  • The submandibular lymph nodes become inflamed and enlarged;
  • The appearance of a gray rash in the mouth;
  • A gummy tumor that resolves over time and an ulcer appears at this site;
  • The palate in the mouth becomes bluish.

Redness of the throat with this type of infection may not be observed. Such a symptom can be observed if the patient has a history of chronic tonsillitis.

Stages of development of the disease

The incubation period of syphilitic tonsillitis lasts about a month. At the end of the fourth week, the lymph nodes and tonsils gradually increase.

Primary syphilis lasts about 7 weeks. A syphiloma is formed (a benign tumor) that develops on one of the tonsils. This tonsil greatly increases in size and may turn red. At this time, the lymph nodes are actively increasing by 2-3 cm. All these manifestations at this stage are most often not accompanied by pain.

A round rash appears throughout the oropharynx. The soft palate may turn red.

The period of secondary disease is gaining momentum after 2-2.5 months after infection with the virus. There are pain when swallowing. The patient often confuses these and carries out the wrong treatment.

Tertiary syphilis is expressed by the appearance of cyanosis of the oropharynx and the appearance of tubercles (gummous tumors) throughout the oral cavity. These formations after necrosis pass into the stage of ulcers, which are characterized by a dense bottom and greasy coating. From these ulcers, further infection with syphilis occurs in other parts of the body (tissues, bones, nerve plexuses).

Tertiary syphilis may be accompanied by profuse salivation and difficulty moving the tongue. During this period, a sharp increase in temperature up to 40 degrees can be observed.

Diagnosis of the disease of syphilitic angina

It will be difficult to independently establish the correct diagnosis at the first stage of the development of the disease. Only an experienced doctor will be able to determine the disease already during the formation of syphiloma. The doctor's assumption is confirmed by laboratory tests:

  • Blood test for the Wasserman reaction;
  • Carrying out a puncture of lymph nodes;
  • Mouth smear.

The results of a clinical blood test most often with this ailment show increased ESR and an increase in the number of leukocytes. All signs of this sore throat are easily confused with other throat diseases:

  • throat cancer,
  • Stomatitis,

Complications of the disease

If a variety of this sore throat is not treated, then serious complications can arise, they can lead to consequences that will remain for life. In place of ulcers, scars form, which will subsequently interfere with speech and absorption of food.

As a result of complications, salivation is impaired. Without medical assistance, damage to the central nervous system occurs. Against this background, there are tics, convulsions, headaches and dizziness. The kidneys and skeleton also suffer complications.

It's important to know! Erosions in the tongue and in the oral cavity can, if not properly treated, can degenerate into cancer.

Treatment of syphilitic angina

Almost all drugs for another type have no effect on the syphilitic type of the disease. Treatment of this disease can be carried out at home. With complications and an aggressive course of the disease, you have to go to a special hospital. There, medical manipulations are carried out with the help of droppers.

Taking into account the fact that the disease proceeds for a long time, the therapy is delayed and carried out in several stages. If the disease is diagnosed at the first stage, then rehabilitation begins with the appointment of antibiotics in injections. During the second and third stages, strong drugs are added that can produce a toxic effect.

The treatment regimen can be complicated with multiple selections of antibiotics. The patient sometimes has to take drugs in several stages. Since one course of vaccination may not have the desired effect.

Good local action with soda solution or herbal decoctions (chamomile, calendula, propolis). The intake of vitamin complexes, proper dietary nutrition and good sleep helps to strengthen the immune system. And this factor contributes to a quick recovery.

Pills and other drugs with a primary degree of angina can last up to six months. If the disease is detected in the later stages of development, then treatment can be delayed up to several years. It is impossible to interrupt therapy at any stage of the disease.

In the first month, penicillin antibiotics are more often used. If the results are not satisfactory, then the antibiotic is prescribed from another row. After one month, the antibiotic is changed, and rehabilitation continues until complete recovery.

During pregnancy, syphilitic tonsillitis can seriously harm the health of the child and lead to miscarriage. Treatment should begin during pregnancy and take place under the strict supervision of medical personnel in a hospital.

The treatment regimen for pregnant women also consists of taking a course of antibiotics. The most common is ceftriaxone. After passing one course in the period of 24-25 weeks of pregnancy, it is necessary to conduct another course.

If the expectant mother undergoes treatment in a timely manner and in full, then the risk of giving birth to a sick baby is reduced to 5%. After childbirth, the newborn remains under the supervision of doctors and it is checked whether he contracted syphilis during childbirth through the amniotic fluid.

Babies with congenital syphilis have purulent and bloody discharge from the nose. There are also various violations in the development of internal organs. To get rid of this disease, babies have to undergo up to 8 courses of antibiotic therapy.

Disease prevention

If the disease was diagnosed in a family member, then it is worth taking a number of measures to avoid infecting other people. At this time, it is necessary to observe hygiene rules in a stricter form and avoid any physical contact between people living in the same house.

It is necessary to refuse casual sexual contacts. You should also carefully monitor personal hygiene and do not use the care items of strangers. After casual sex without using a condom, after a few weeks, you need to contact a venereologist and undergo an examination. Indeed, in the early stages, the disease is treated much easier.