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Pharyngitis Causes

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41. Effect of Sleeping Position on Upper Airway Patency in Obstructive Sleep Apnea Is Determined by the Pharyngeal Structure Causing Collapse Full Text available with Trip Pro

Effect of Sleeping Position on Upper Airway Patency in Obstructive Sleep Apnea Is Determined by the Pharyngeal Structure Causing Collapse In some patients, obstructive sleep apnea (OSA) can be resolved with improvement in pharyngeal patency by sleeping lateral rather than supine, possibly as gravitational effects on the tongue are relieved. Here we tested the hypothesis that the improvement in pharyngeal patency depends on the anatomical structure causing collapse, with patients with tongue (...) -related obstruction and epiglottic collapse exhibiting preferential improvements.Twenty-four OSA patients underwent upper airway endoscopy during natural sleep to determine the pharyngeal structure associated with obstruction, with simultaneous recordings of airflow and pharyngeal pressure. Patients were grouped into three categories based on supine endoscopy: Tongue-related obstruction (posteriorly located tongue, N = 10), non-tongue related obstruction (collapse due to the palate or lateral walls, N

2017 Sleep

42. Pharyngeal Myiasis Caused by Sheep Botfly, Oestrus ovis (Diptera: Oestridae) Larva, Tabriz, East Azarbaijan Province, Iran: a Case Report Full Text available with Trip Pro

Pharyngeal Myiasis Caused by Sheep Botfly, Oestrus ovis (Diptera: Oestridae) Larva, Tabriz, East Azarbaijan Province, Iran: a Case Report Myiasis is caused by the larvae of flies infesting animal or human tissues and organs. This report aims to present a case of pharyngeal myiasis caused by the larvae of Oestrus ovis (Diptera: Oestridae). A 55-yr old drug addict living in the Shahindeje village of Western Azerbaijan Province, northwestern Iran was referred to the Emam Reza Hospital in Tabriz

2017 Journal of Arthropod-Borne Diseases

43. Airflow shape is associated with the pharyngeal structure causing obstructive sleep apnea. Full Text available with Trip Pro

Airflow shape is associated with the pharyngeal structure causing obstructive sleep apnea. OSA results from the collapse of different pharyngeal structures (soft palate, tongue, lateral walls, and epiglottis). The structure involved in collapse has been shown to impact non-CPAP OSA treatment. Different inspiratory airflow shapes are also observed among patients with OSA. We hypothesized that inspiratory flow shape reflects the underlying pharyngeal structure involved in airway collapse.Subjects (...) with OSA were studied with a pediatric endoscope and simultaneous nasal flow and pharyngeal pressure recordings during natural sleep. The mechanism causing collapse was classified as tongue-related, isolated palatal, lateral walls, or epiglottis. Flow shape was classified according to the degree of negative effort dependence (NED), defined as the percent reduction in inspiratory flow from peak to plateau.Thirty-one subjects with OSA (mean apnea-hypopnea index score ± SD, 54 ± 27 events/h) who were 50

2017 Chest

44. Importance of adhesins in the recurrence of pharyngeal infections caused by Streptococcus pyogenes. Full Text available with Trip Pro

Importance of adhesins in the recurrence of pharyngeal infections caused by Streptococcus pyogenes. Pharyngo-amygdalitis is the most common infection caused by Streptococcus pyogenes (S. pyogenes). Reinfection with strains of different M types commonly occurs. However, a second infection with a strain of the same M type can still occur and is referred to as recurrence. We aimed to assess whether recurrence of S. pyogenes could be associated to erythromycin resistance, biofilm formation (...) or surface adhesins like fibronectin-binding proteins and pilus proteins, both located in the fibronectin-binding, collagen-binding, T-antigen (FCT) region.We analyed clinical isolates of S. pyogenes obtained from children with multiple positive cultures of throat swabs. We analysed potential associations between M types, clonal patterns, biofilm production and FCT types with their capacity of producing a recurrent infection. We genetically defined recurrence as an infection with the same M type (same

2017 Journal of Medical Microbiology

45. The challenge of “evidence based” sore throat guidelines Full Text available with Trip Pro

contagious. It occasionally causes streptococcal shock syndrome with the rare death. Treatment probably decreases duration of symptoms in adolescents and young adults, but not significantly in childhood. Some Europeans now consider GAS sore throat a self-limited disease that we need not treat. They discount the ARF risk and thus view the potential negative side effects from antibiotics a greater problem. We know that in adolescents and young adults, group C/G streptococcus and Fusobacterium necrophorum (...) causes suppurative complications. In Zwart’s study of patients 15 and older, penicillin decreased symptom duration by 1 day. F. necrophorum causes high percentage of peritonsillar abscess (PTA) in the 15-30 age group (the age group with the highest percentage of PTA). This organism causes the great majority of the Lemierre syndrome (sore throat followed by internal jugular septic thrombophlebitis and septic emboli). Again this devastating syndrome occurs primarily in the 15-30 age group. What

2017 db's Medical Rants blog

46. Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis

Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis - CanadiEM Tiny Tips: Modified Centor Score for Streptococcal Pharyngitis In , , by Richard Tang January 18, 2017 Upper Respiratory Infection symptoms like cough or sore throat are still some of the top reasons for Canadian emergency department visits, and will likely be even higher in the upcoming months and in Urgent Care Centres. 1 The most common organisms (...) physicians also believe that there is little benefit to routine treatment of uncomplicated streptococcal pharyngitis in adults due to the low incidence of suppurative and non-suppurative complications, and modest evidence of symptom relief – however this a topic outside the scope of the discussion today. 10 The Bottom Line: In summary, the Modified Centor Score is a quick, reliable and useful bedside tool to gauge the risk of streptococcal pharyngitis in a patient with sore throat complaints. As a firm

2017 CandiEM

47. Efficacy of flurbiprofen 8.75 mg spray in patients with sore throat due to an upper respiratory tract infection: A randomised controlled trial. Full Text available with Trip Pro

Efficacy of flurbiprofen 8.75 mg spray in patients with sore throat due to an upper respiratory tract infection: A randomised controlled trial. Viral infections cause most cases of pharyngitis (sore throat); consequently, antibiotics are generally not warranted. However, a treatment targeting pain and inflammation, e.g. a topical non-steroidal anti-inflammatory spray, may be helpful for patients.To evaluate the efficacy and safety of flurbiprofen 8.75 mg spray.This randomised, double-blind (...) , parallel group study was conducted at six community-based clinical research centres in Australia and two in New Zealand. Adults with sore throat due to upper respiratory tract infection (onset ≤ four days) took one dose of flurbiprofen (n = 249) or placebo spray (n = 256); after six hours, they could re-dose every three-six hours as required, for three days (max. five doses/day). The primary endpoint was the area under the change from baseline curve in throat soreness from zero-two hours (AUC0-2h

2016 The European journal of general practice Controlled trial quality: predicted high

48. The prophylactic effect of dexamethasone on postoperative sore throat in prone position surgery. Full Text available with Trip Pro

The prophylactic effect of dexamethasone on postoperative sore throat in prone position surgery. Sore throat and hoarseness are common complications after general anesthesia with tracheal intubation. The position for patients can affect the incidence of postoperative sore throat (POST) by causing displacement of the endotracheal tube. This study investigated the prophylactic effect of dexamethasone in prone position surgeries.One hundred-fifty patients undergoing lumbar spine surgery (18-75 yr (...) ) were randomly allocated into the normal saline group (group P, n = 50), dexamethasone 0.1 mg/kg group (group D1, n = 50) or dexamethasone 0.2 mg/kg group (group D2, n = 50). The incidence and severity of POST, hoarseness, and cough were measured using direct interview at 1, 6, and 24 h after tracheal extubation. The severity of POST, hoarseness, and cough were graded using a 4-point scale.At 1, 6, and 24 h after extubation, the incidence of sore throat was significantly lower in group D1 (1 h; P

2016 Korean journal of anesthesiology Controlled trial quality: uncertain

49. Who Really Gets Strep Sore Throat? Confounding and Effect Modification of a Time-Varying Exposure on Recurrent Events Full Text available with Trip Pro

of Streptococcus bacteria in the throat on pharyngitis (sore throat) in Indian schoolchildren. Using our models, we show that existing methods can be badly biased and that sick children who are rarely colonized have a high probability that the Streptococcus bacteria are causing their disease. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.Published 2016. This article is a U.S. Government work and is in the public domain in the USA. (...) Who Really Gets Strep Sore Throat? Confounding and Effect Modification of a Time-Varying Exposure on Recurrent Events Unmeasured confounding is the fundamental obstacle to drawing causal conclusions about the impact of an intervention from observational data. Typically, covariates are measured to eliminate or ameliorate confounding, but they may be insufficient or unavailable. In the special setting where a transient intervention or exposure varies over time within each individual

2016 Statistics in medicine

50. The Effects of Beclomethasone Upper the Endotracheal Cuff on the Occurrence of Sore Throat at Extubation

Statement: Plan to Share IPD: Yes Keywords provided by Temistocle Taccheri, Policlinico Universitario Agostino Gemelli: intubation intensive care cardiac surgery sore throat Additional relevant MeSH terms: Layout table for MeSH terms Pharyngitis Pharyngeal Diseases Stomatognathic Diseases Respiratory Tract Infections Respiratory Tract Diseases Otorhinolaryngologic Diseases Beclomethasone Anti-Inflammatory Agents Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists (...) The Effects of Beclomethasone Upper the Endotracheal Cuff on the Occurrence of Sore Throat at Extubation The Effects of Beclomethasone Upper the Endotracheal Cuff on the Occurrence of Sore Throat at Extubation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2016 Clinical Trials

51. Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial. Full Text available with Trip Pro

Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial. Sore throat is a common cause of pain in outpatient encounters. Battlefield auricular acupuncture (the placing of needles in specific points in the ear) is a modality used to treat acute pain associated with a variety of ailments. The aim of our study was to determine whether auricular acupuncture reduces pain, medication usage, and missed work hours when added to standard therapy in adult patients with acute sore throat.We (...) conducted an unblinded, pragmatic, randomized controlled trial among adult, nonpregnant patients presenting to an Air Force family medicine clinic with pain from acute sore throat. A total of 54 patients were followed for 48 hours after treatment.Patients receiving auricular acupuncture reported lower pain scores than those who did not at 15 minutes (6.0 [95% confidence interval (CI), 5.4-6.6] vs 2.6 [95% CI, 1.7-3.5]; P < .0001), 6 hours (4.8 [95% CI, 4.0-5.6] vs 2.5 [95% CI, 1.6-3.4]; P = .0005

2015 Journal of the American Board of Family Medicine : JABFM Controlled trial quality: predicted high

52. Zinc Lozenges and Their Effect on Postoperative Sore Throat Syndrome

, the rate of sore throat in the control groups have been between 17-90%. The cause of POST is related to direct local tissue trauma leading to inflammation of the pharyngeal mucosa and possibly the drying effect of non-humidified gases across the mucous membranes. Although there have been multiple treatments recommended for POST, none of them have been exactly effective, and the symptoms usually ameliorate within 72 hr without treatment. Even though this is the case, it is still recommended to take (...) consent Patients presenting for surgery >1 hour in length and <6 hours. Exclusion Criteria: History of preoperative sore throat, common colds, upper respiratory infections, immune deficiencies Chronic smokers Patients with Mallampati airway grade of more than 2 Patients requiring more than one attempt for intubation or traumatic intubations Patients requiring laryngeal mask Airway (LMA) placement Patients allergic to zinc Patients requiring quinolones or tetracycline antibiotics pre

2015 Clinical Trials

53. Near-patient tests and the clinical gaze in decision-making of Swedish GPs not following current guidelines for sore throat - a qualitative interview study. Full Text available with Trip Pro

Near-patient tests and the clinical gaze in decision-making of Swedish GPs not following current guidelines for sore throat - a qualitative interview study. Excessive antibiotics use increases the risk of resistance. Previous studies have shown that the Centor score combined with Rapid Antigen Detection Test (RADT) for Group A Streptococci can reduce unnecessary antibiotic prescribing in patients with sore throat. According to the former Swedish guidelines RADT was recommended with 2-4 Centor (...) criteria present and antibiotics were recommended if the test was positive. C- reactive protein (CRP) was not recommended for sore throats. Inappropriate use of RADT and CRP has been reported in several studies.From a larger project 16 general practitioners (GPs) who stated management of sore throats not according to the guidelines were identified. Half-hour long semi-structured interviews were conducted. The topics were the management of sore throats and the use of near-patient tests. Qualitative

2015 BMC Family Practice

54. S.L. Spray Solution® and Difflam® and Acular®Spray for the Prevention of Postoperative Sore Throat

, 2015 Sponsor: Chang Gung Memorial Hospital Information provided by (Responsible Party): Chang Gung Memorial Hospital Study Details Study Description Go to Brief Summary: The purpose of intubation for patients under general anesthesia is to maintain their respiratory function. However, this procedure does cause a postoperative sore throat. Comfort of patients could be promoted if effective treatment could be found. The specific aims of this project are: Comparing the Efficacies Between the Spray (...) Responsible Party: Chang Gung Memorial Hospital ClinicalTrials.gov Identifier: Other Study ID Numbers: 103-2453A3 First Posted: November 20, 2015 Last Update Posted: November 20, 2015 Last Verified: October 2015 Keywords provided by Chang Gung Memorial Hospital: postoperative sore throat American Society of Anesthesiologists status general anesthesia post-anesthesia care unit(PACU) Additional relevant MeSH terms: Layout table for MeSH terms Pharyngitis Pharyngeal Diseases Stomatognathic Diseases

2015 Clinical Trials

55. Does the incidence of sore throat postoperatively increase with the use of a traditional intubation blade or the GlideScope? (Abstract)

are caused by irritation inflicted by multiple laryngoscopic attempts or the actual utilization of the GlideScope itself. The goal of this study was to determine whether the use of the GlideScope leads to a greater or lesser incidence of sore throat when compared with traditional laryngoscope blades used for intubation.Eligible patients scheduled for elective inpatient surgeries requiring endotracheal tube intubation were enrolled into this single-blinded prospective cohort study. χ(2) Test, Fisher exact (...) Does the incidence of sore throat postoperatively increase with the use of a traditional intubation blade or the GlideScope? The GlideScope video-guided laryngoscope is an alternative standard of care for rescue laryngoscopies when direct laryngoscopy is unsuccessful. During postoperative checks by an anesthesiologist, it was noticed that patients who reported sore throat often required GlideScope laryngoscopy. Consequently, it is difficult to determine whether postoperative sore throats

2015 Journal of clinical anesthesia Controlled trial quality: uncertain

56. Sore throat: Is it such a big deal anymore? (Abstract)

Sore throat: Is it such a big deal anymore? Sore throat remains a common disease of childhood, and a major cost and cause for antibiotic prescriptions. The management of sore throat remains controversial in affluent countries with various guidelines available and overall poor adherence to those guidelines. Group A streptococcus is the commonest bacterial cause with important sequelae including acute rheumatic fever (ARF). The driver for diagnosis and treatment is still questionable. In most (...) affluent populations it is difficult to justify antibiotic treatment on the basis of preventing ARF, whereas this remains the major driver for sore throat management in populations at higher risk of ARF. Reduction in severity and duration of symptoms may be a reasonable basis to consider antibiotic treatment, and thus accurate diagnosis of GAS pharyngitis, particularly in those with more severe symptoms. The potential role of rapid tests in diagnosis appears to be increasing. Copyright © 2015

2015 Journal of Infection

57. Sore throat may be a clue to the early diagnosis of spontaneous pneumomediastinum. (Abstract)

Sore throat may be a clue to the early diagnosis of spontaneous pneumomediastinum. Spontaneous pneumomediastinum is defined as presence of air in the mediastinum without obvious cause such as esophageal perforation or abscess formation. It is a benign condition and usually resolved by itself in 1 to 2 weeks. The main symptom of spontaneous pneumomediastinum is retrosternal chest pain. Here, we present a young adult who complained about sore throat initially. Marked retropharyngeal emphysema (...) was noted by neck x-ray. Pneumomediastinum was confirmed with chest x-ray and computed tomographic scan later on.We want to emphasize the importance of thorough history taking and lateral soft tissue neck radiograph on retropharyngeal emphysema in real time, which is key to the diagnostic workup for patients who present with persistent sore throat and dysphagia in young adult.

2015 American Journal of Emergency Medicine

58. Pharyngitis Causes

: Pharyngitis Causes , Sore Throat Causes , Dysphagia from Oropharyngeal Cause From Related Chapters II. Causes: Bacterial (Persists slightly longer than viral) Common l Causes Pneumococcus (also ) e (also ) Other l Causes necrophorium ( ) Causes 10% of cases in young adults and adolescents Risk of (high morbidity and mortality) Consider empiric treatment in young patients with severe, prolonged cases >5 days Other Streptococcal species (Groups B, C, G) ral l processes III. Causes: Viral (Pharyngitis lasts (...) (physical finding) , pharyngeal inflammation , inflammation of pharynx , pharyngitis (diagnosis) , pharyngitis , Pharyngitis NOS , Pharyngitis [Disease/Finding] , throat inflammation , sore throat , throat infection , infections throat , inflammation throat , soreness throat , Inflamed;throat , Inflammation;throat , inflamed throat , throat soreness , inflamed throats , infection throat , throat inflamed , irritation of the throat , Inflamed throat (finding) , Inflamed throat (disorder) , Pharynx

2018 FP Notebook

59. A Mild Laryngeal Cleft Causes Severe Symptoms. (Abstract)

A Mild Laryngeal Cleft Causes Severe Symptoms. Diagnosis and treatment of laryngeal clefts (LCs) particularly type I pose a challenge. Although rare, type I LCs are becoming increasingly identified in recent years, and this is perhaps due to both an increased awareness and better diagnostic modalities. We report a young infant presenting with feeding difficulty and respiratory distress related to LC. The pertinent literature is also reviewed.

2017 Pediatric Emergency Care

60. An unusual cause of severe dyspnea: A laryngeal live leech: Case report Full Text available with Trip Pro

An unusual cause of severe dyspnea: A laryngeal live leech: Case report Foreign bodies in the upper airways are one of the most challenging otolaryngology emergencies, leeches present a very rare cause of airway foreign bodies around the world.A 6-year-old girl was referred to our otolaryngology department at a tertiary university hospital with a severe dyspnea and hemoptysis. Nasofibroscopy revealed a dark living leech in the supraglottic area which extends to the glottis. The patient

2017 International journal of surgery case reports

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