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Clinical scoring system of acute pharyngotonsillitis
Akihisa Togawa1, Muneki Hotomi, Shinji Tamura
1Department of Otolaryngology, Head and Neck Surgery, Wakayama Medical University, Wakayama, Japan. togawa@wakayama-med.ac.jp
Objectives:
The aim of this study was to evaluate clinical outcomes of acute pharyngo-tonsillitis by a scoring system and the impact of causative pathogens.
Methods:
The patients with acute pharyngotonsillitis were evaluated for causative pathogens and her clinical symptoms and pharyngotonsillar finding by a clinical scoring system were assessed.
Results:
Streptocococcus pyogenes were identified at 13.6%. Thirty-one viruses were also identified by PCR. The numbers of total white blood cells and the levels of C-reactive protein showed a significant positive correlation with clinical scores (p<0.001) and were significantly higher in cases with S. pyogenes. The clinical scores rapidly improved after the antimicrobial treatments in moderate cases and severe cases.
Conclusion:
A clinical scoring system represents the severity of acute pharyngotonsillitis and is useful for evaluating clinical course of the illness.
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