What is the parathonsillar abscess, code? 10

When a person feels a sharp pain in the throat, and it does not go away for a long time, then this symptom should alert. The fact is that this may indicate the presence of a serious complication - a parathonsillar abscess. It can occur as a result of acute angina and chronic tonsillitis. The pathological process is quite difficult, as it gives the patient a lot of trouble. It is necessary to treat inflammation urgently, as it does not pass by itself.

Code of the disease according to the ICD 10

The formation of the pathological process occurs due to the malignant lymph nodes, the pharynx of the pharyngeal region. The formation of pus in the throat can occur against the background of influenza, SARS, measles, scarlet fever, otitis and mechanical trauma mucous. But most often the culprit of the paratonsillar abscess is angina.

In the photo - paratonsillar abscess:

Tonsillitis, which proceeds in a chronic form, is contagious, so it can cause the development of an abscess. It is presented in the form of a white ulcer. If you do not start to treat the throat, then this can cause strangulation. The abscess is affected equally by both adults and children. According to the international classification of diseases in paratonsillar abscess ICD code 10 - J38.

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Species

Parathonsillar abscess may be classified into subspecies. It can be subdivided into the following species, taking into account where it was concentrated in the paratonzillar fiber:

1. Front-end .This form of pathology is often diagnosed. It is characterized by the accumulation of pus behind the anterior arc and the soft sky in the region of the upper pole of the amygdala.
2. Outdoor( side) .Concentration of pus occurs between the pharyngeal fascia and the capsule of the amygdala.
3. Rear. It is characterized by accumulation of pus in the region of the posterior arch.
4. Lower. This pathological process is characterized by displacement of the palatal arch downward and anteriorly due to the penetration of the infection into the lower part.

On the video parathonsillar abscess:

Another paratonzillar abscess can be classified by localization into one-sided and two-sided. In this case, the one-sided is still divided into right-sided and left-sided. In this case, the type of pathology is determined taking into account the area in which there is accumulation of pus and the formation of an abscess.

Is the

abscess infectable? You can infect paratonsillitis as well as with tonsillitis. Although in fact there is not paratonzillitis, but acute tonsillitis. Penetrates the pathogen of the pathological process by airborne droplets.

First, it settles on the mucous membranes of the respiratory system, mouth, eyes and skin. It is the air-droplet transmission path considered to be the main one. Infection spreads during sneezing, coughing of a sick person. Infection with bacteria and viruses can occur by direct contact with the patient during a kiss, handshake and embrace.

What can be the complications of

Most often, the course of the paratonsillar abscess ends in recovery. But this is provided that the treatment was started on time. If microbes and viruses have high activity, and human immunity is weakened, then this can lead to the development of such consequences as phlegmon parapharyngeal space. From the paratonsillar tissue through the upper throat compressors, the infectious process penetrates into the parapharyngeal space.

In this case, the patient's condition is very difficult. His body temperature rises sharply to a mark of 39-40 degrees. There are also symptoms of general intoxication, increased salivation, bad smell from the mouth. It is very hard for him to swallow and breathe. During the examination of the patient, he holds the neck in a fixed position, tilting it in the direction of the lesion.

During palpation, tension is observed in the area of ​​the anterolateral surface of the neck. It is swollen and painful. Phlegmon parapharyngeal space carries a danger due to the development of purulent mediastinitis, arrosive bleeding from the large vessels of the neck.

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Reviews

• Oleg, 45 years old: "I was diagnosed with a parathonsillar abscess 2 years ago. Then I had a sore throat, but apparently I could not quite cope with it. Against her background, I began to form abscesses. At first I decided to be treated at home. I rinsed with various solutions. But with every hour the pain grew stronger and stronger. Further it was impossible to suffer, and I went to the hospital. There I was given an autopsy. The procedure is not pleasant, but I immediately felt better. The temperature went down, the pain became less pronounced. Further at home, I was already following a treatment plan made by a doctor and went to the dressings every 3 days, where I was replaced with a cotton swab placed on the site of the removed abscess. "
• Svetlana, 26 years old: "I met the paratonsillar abscess when I was at school. At first, I was diagnosed with an ordinary sore throat. I took medication prescribed by the doctor and everything was fine. But then my temperature increased sharply, the pain in my throat literally attacked me. I could not normally speak, eat, drink. Yes, there, I could even swallow it with my saliva. Then we went back to the hospital and I was diagnosed with a parathonsillar abscess. The treatment was performed by the method of opening the abscess, and then a course of antibiotic therapy and treatment of the wound with antiseptic solutions was prescribed. "
• Maria, 37 years old: "For a very long time I suffered from a parathonsillar abscess, because I was given an autopsy 2 times. Initially, the pathological process arose against the background of angina. His main symptoms were severe sore throat and fever. In the hospital, I was cleansed, and at home I took antibiotics as standard. But after 5 days the process of suppuration was repeated. I do not know what could provoke him, but I again had to agree to an autopsy. After I went to the dressing in the hospital, I was constantly treated with an antiseptic solution, ointments for quick healing. After 2 weeks, I was already completely healthy. "

Paratonlesillar abscess is a fairly common phenomenon that occurs in people at different ages against the background of infectious diseases. Treatment of pathology should occur as quickly as possible, so that the pus and infection process does not affect neighboring tissues, which will lead to more sad consequences.