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Pharyngitis Causes

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61. Hemifacial spasm caused by an aberrant jugular branch of the ascending pharyngeal artery. (PubMed)

Hemifacial spasm caused by an aberrant jugular branch of the ascending pharyngeal artery. We present the first report of a case of hemifacial spasm caused by an anomalous, enlarged branch of the ascending pharyngeal artery and treated with microvascular decompression. Clinicians must appreciate unusual causes of hemifacial spasm so that patients are not denied a curative operation due to atypical radiographic findings.

2014 British Journal of Neurosurgery

62. Pharyngitis

the diagnosis of GAS pharyngitis. The constellation of severe sudden sore throat (especially with pain upon swallowing), fever, tender anterior cervical lymphadenopathy, red pharynx with tonsillar swelling +/- exudate, and no cough indicate a higher probability of GAS for both adults and children. Other associated clinical findings suggestive of GAS as the cause of an episode of acute pharyngitis include headache, abdominal pain, nausea, vomiting, palate petechiae, and a scarlatiniform rash. Important (...) possibilities: • Organism is present as a colonizer and does not pose a threat to cause acute rheumatic fever (i.e., a coexisting viral infection is the cause of the acute symptoms). These GAS carriers are defined as individuals with positive throat cultures for GAS without an immunologic response to GAS. Colonization occurs often after a primary GAS pharyngitis and it may persist for many months. Throat culture surveys of asymptomatic children during school outbreaks of pharyngitis have yielded GAS

2013 University of Michigan Health System

63. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis

regarding antibiotic choices and dosing. Penicillin or amoxicillin remain the treatments of choice, and recommendations are made for the penicillin-allergic patient, which now include clindamycin. EXECUTIVE SUMMARY Group A streptococcal (GAS) pharyngitis is a significant cause of community-associated infections. This document constitutes a revision of the 2002 guideline of the Infectious Diseases Society of America (IDSA) on the treatment of GAS pharyngitis [ ]. The primary objective of this guideline (...) or nonsuppurative complications (eg, acute rheumatic fever; strong, moderate). 13. We do not recommend tonsillectomy solely to reduce the frequency of GAS pharyngitis (strong, high). INTRODUCTION GAS is the most common bacterial cause of acute pharyngitis, responsible for 5%–15% of sore throat visits in adults and 20%–30% in children [ , ]. Accurate diagnosis of streptococcal pharyngitis followed by appropriate antimicrobial therapy is important for the prevention of acute rheumatic fever; for the prevention

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2012 Infectious Diseases Society of America

64. Endoscopic submucosal dissection of the pharyngeal region using anchored hemoclip with surgical thread: A novel method (PubMed)

Endoscopic submucosal dissection of the pharyngeal region using anchored hemoclip with surgical thread: A novel method Endoscopic submucosal dissection (ESD) of the pharyngeal region has not been well accepted, although ESD of the gastrointestinal tract is a standard procedure for treating early cancers. However, early detection and treatment of pharyngeal cancers is highly beneficial because surgical resection can be highly invasive and cause serious cosmetic deformities, swallowing disorders (...) , dysgeusia, and speech defects. On the other hand, application of an anchored clip with surgical thread during ESD of the gastrointestinal tract has been reported to be beneficial. This pilot case series reveals the usefulness and clinical feasibility of applying a clip with thread in ESD of the pharyngeal region.

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2016 Endoscopy international open

65. Operator Influence on Blinded Diagnostic Accuracy of Point-of-Care Antigen Testing for Group A Streptococcal Pharyngitis (PubMed)

Operator Influence on Blinded Diagnostic Accuracy of Point-of-Care Antigen Testing for Group A Streptococcal Pharyngitis Background. Acute pharyngitis caused by Group A Streptococcus (GAS) is a common presentation to pediatric emergency departments (ED). Diagnosis with conventional throat culture requires 18-24 hours, which prevents point-of-care treatment decisions. Rapid antigen detection tests (RADT) are faster, but previous reports demonstrate significant operator influence on performance (...) . Objective. To measure operator influence on the diagnostic accuracy of a RADT when performed by pediatric ED nurses and clinical microbiology laboratory technologists, using conventional culture as the reference standard. Methods. Children presenting to a pediatric ED with suspected acute pharyngitis were recruited. Three pharyngeal swabs were collected at once. One swab was used to perform the RADT in the ED, and two were sent to the clinical microbiology laboratory for RADT and conventional culture

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2016 The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien des Maladies Infectieuses et de la Microbiologie Médicale

66. Development of a fast and low-cost qPCR assay for diagnosis of acute gas pharyngitis (PubMed)

Development of a fast and low-cost qPCR assay for diagnosis of acute gas pharyngitis Group A streptococci (GAS) are the most common bacterial cause of acute pharyngitis and account for 15-30 % of cases of acute pharyngitis in children and 5-10 % of cases in adults. In this study, a real-time quantitative PCR (qPCR) based GAS detection assay in pharyngeal swab specimens was developed.The qPCR assay was compared with the gold standard bacterial culture and a rapid antigen detection test (RADT (...) of the total assay for 24 samples including pre-analytical processing and analysis changed between 42 and 55 min depending on the type of qPCR instrument used. A simple DNA extraction method and a low qPCR volume made the developed assay an economical alternative for the GAS detection.We showed that the developed qPCR test is rapid, cheap, sensitive and specific and therefore can be used to replace both antigen detection and culture for diagnosis of acute GAS pharyngitis.

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2016 Annals of Clinical Microbiology and Antimicrobials

67. SIADH Induced by Pharyngeal Squamous Cell Carcinoma: Case Report and Literature Review (PubMed)

SIADH Induced by Pharyngeal Squamous Cell Carcinoma: Case Report and Literature Review Background. The Syndrome of Inappropriate Antidiuretic Hormone (SIADH) is considered to be the most common cause of euvolemic hyponatremia. The most common malignancy associated with SIADH is small cell lung cancer. We present a rare case of a patient with SIADH secondary to well differentiated squamous cell carcinoma of the naso-oropharynx. Case. A 46-year-old Caucasian woman presented to emergency (...) department with four-week history of progressive dysphagia. On examination, she was found to have a pharyngeal mass. CT scan and MRI of neck confirmed a mass highly suspicious of carcinoma. Patient's serum sodium level decreased to 118 mEq/L and other labs including serum and urine osmolality confirmed SIADH. She was started on fluid restriction and oral sodium tablets which gradually improved her serum sodium levels. Biopsy confirmed diagnosis of squamous cell carcinoma of pharynx. Conclusion. SIADH can

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2016 Case reports in nephrology

68. Is the difference in the volume of the pharyngeal space, as measured by acoustic pharyngometry, before and after tonsillectomy proportional to the volume of the excised tonsils? (PubMed)

Is the difference in the volume of the pharyngeal space, as measured by acoustic pharyngometry, before and after tonsillectomy proportional to the volume of the excised tonsils? Adenotonsillectomy is recognized as an effective therapy for snoring and sleep disorders in children. It is important to understand whether adenotonsillectomy significantly increases the volume of the pharyngeal space. The goal of this study was to evaluate the change in oropharyngeal volume after adenotonsillectomy (...) and the correlation of this change with the objective volume of the tonsils and body mass index.We included 27 subjects (14 males) with snoring caused by tonsil and adenoid hypertrophy. The mean age of the subjects was 7.92 (±2.52) years. Children with craniofacial malformations or neuromuscular diseases or syndromes were excluded. The parents/caregivers answered an adapted questionnaire regarding sleep-disordered breathing. All patients were subjected to weight and height measurements and body mass index

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2016 Clinics

69. Streptococcal Pharyngitis in a Two-Month-Old Infant: A Case Report (PubMed)

Streptococcal Pharyngitis in a Two-Month-Old Infant: A Case Report Group A β-hemolytic Streptococcus is the most common cause of bacterial pharyngitis among 5 - 15-year-old children, but it is uncommon in children less than three years old and rarely happens in infants less than one year old.The patient was a 62-day-old female infant who presented with fever and poor feeding since two days before admission. At the time of admission, the patient was febrile and ill. Upon examination, a rectal (...) temperature of 38.5°C, multiple right-sided submandibular lymphadenopathies, pharyngeal erythema, and tonsillar exudates were detected. Twenty-four hours after the throat swab was collected and cultured, Streptococcus pyogenes grew on a sheep blood agar medium. The patient's mother, who also experienced similar symptoms, had a positive throat swab culture for S. pyogenes.Although Streptococcal pharyngitis is rare in children less than three years old and the necessity of treatment is not well clarified

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2016 Jundishapur journal of microbiology

70. A Complicated Course of Acute Viral Induced Pharyngitis, Icteric Hepatitis, Acalculous Cholecystitis, and Skin Rash (PubMed)

A Complicated Course of Acute Viral Induced Pharyngitis, Icteric Hepatitis, Acalculous Cholecystitis, and Skin Rash This case reveals the complexities and challenges in the diagnosis of acute Epstein-Barr virus (EBV) infection, indicating the potential relationship between EBV infection and severe icteric hepatitis, acalculous cholecystitis, and lymphocytic vasculitis. We suggest including EBV infectious mononucleosis in the list of differential diagnoses when any of these clinical syndromes (...) (or a combination thereof) occurs without apparent cause, especially in the presence of lymphocytosis. To our knowledge, this is the first report to suggest the possible role of EBV in the pathogenesis of cutaneous lymphocytic vasculitis. Also it is possible that EBV infection triggered the flare-up of the underlying rheumatologic disease. Therefore, it could be assumed that a part of the clinical syndrome (e.g., dermatologic manifestations) might be related to the flare-up of the underlying rheumatologic

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2016 Case reports in medicine

71. Effect of Added Varnum Mouthpiece on Pharyngeal Collapsibility and Sleep Apnea Severity in Mouth Breathers.

options beyond continuous positive airway pressure (CPAP). In patients with OSA, upper airway obstruction is caused by collapse of pharyngeal structures during sleep. It is known that mouth breathing increases upper-airway collapsibility during sleep and may contribute to the occurrence of sleep disordered breathing. In addition, it was shown that patients with a high percentage of mouth breathing during sleep were less adherent to CPAP therapy. Therefore, one potential solution to these problems (...) Effect of Added Varnum Mouthpiece on Pharyngeal Collapsibility and Sleep Apnea Severity in Mouth Breathers. Effect of Added Varnum Mouthpiece on Pharyngeal Collapsibility and Sleep Apnea Severity in Mouth Breathers. - 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

2016 Clinical Trials

72. Mucosal Injury Using Pharyngeal Packing

Mucosal Injury Using Pharyngeal Packing Mucosal Injury Using Pharyngeal Packing - 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). Please remove one or more studies before adding more. Mucosal Injury Using Pharyngeal Packing The safety and scientific validity (...) and the severity of pain and PONV were recorded throughout the hospital stay. Condition or disease Intervention/treatment Phase Sore Throat Device: Hypopharyngeal packing Device: Without Hypopharyngeal packing Not Applicable Detailed Description: Aim of the study Post-operative nausea and vomiting (PONV) is a complication of anaesthesia and responsible for malaise of surgical patients. Furthermore, PONV has been shown causing additive costs due to anti-emetic drugs and prolonged hospitalisation. The occurrence

2016 Clinical Trials

73. Altered pharyngeal structure and dynamics among patients with cervical kyphosis. (PubMed)

Altered pharyngeal structure and dynamics among patients with cervical kyphosis. Deformities of the anterior cervical spine are an established cause of dysphagia. Whereas osteophytes and spinal fusion hardware have been reported to alter bolus flow and contribute to swallowing dysfunction, the relationship between abnormal spine curvature and swallowing dysfunction is not established. The purpose of this investigation was to evaluate the association between cervical kyphosis and objective (...) and compared between groups.Thirty-six patients with cervical kyphosis exceeding two standard deviations (SD) beyond established age-specific normal ranges were identified. The mean age of the entire cohort was 61.6 (SD ±19.1) years. Mean pharyngeal area was 3.34 cm2 greater in kyphosis patients compared to controls (95% confidence interval [CI]: 0.47-5.21 cm2 ; P = .0007). This was associated with increased hypopharyngeal transit time (0.57 seconds, 95% CI: 0.045-1.09 seconds, P = .034), and higher

2016 Laryngoscope

74. Immunohistochemical Studies and FDG Uptake on PET in Pharyngeal Cancer for Predicting Radiotherapy-based Treatment Outcomes. (PubMed)

] = 3.94) and an MTV defined by an SUV of 2.5 (MTV2.5) >14.5 mL (P = 0.004, HR = 3.31) were prognostic factors for low cause-specific survival, whereas a VEGF IRS >2 (P = 0.02, HR = 2.83) for low primary relapse-free survival.The overexpression of Glut1, VEGF and HIF-1α associated with increased FDG uptake. For patients with pharyngeal cancer requiring RT, the treatment outcome can be stratified by VEGF and MTV2.5.© 2016 John Wiley & Sons Ltd. (...) Immunohistochemical Studies and FDG Uptake on PET in Pharyngeal Cancer for Predicting Radiotherapy-based Treatment Outcomes. This study correlated immunohistochemical studies with fluorodeoxyglucose (FDG) uptake on positron emission tomography-computed tomography (PET-CT) and identified prognostic factors for radiotherapy (RT)-based treatment outcomes in patients with squamous cell carcinoma of the oropharynx and hypopharynx.Genomic data from pre-treatment biopsy specimens (Glut1, CAIX, VEGF

2016 Clinical Otolaryngology

75. Pharyngeal airway effects of Herbst and skeletal anchored Forsus FRD EZ appliances. (PubMed)

in SNA and increase in SNB, Co-Gn, VRL-B and VRL-Pog measurements. Those changes caused a significant correction in the maxillo-mandibular relationship. Upper and lower pharyngeal airway dimensions were increased in both group, while the increase in the lower pharyngeal dimension was found to be statistically significant in the skeletal anchored Forsus FRD EZ group (P < 0.05). Oropharyngeal area measurements significantly increased in both groups (P < 0.001 and P < 0.01, respectively). Comparison (...) of the groups showed that both groups had similar changes with no statistically significant differences (P > 0.05).Skeletal changes produced by both appliances caused significant pharyngeal airway changes.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

2016 International Journal of Pediatric Otorhinolaryngology

76. Upper Airway Collapsibility (Pcrit) and Pharyngeal Dilator Muscle Activity are Sleep Stage Dependent (PubMed)

Upper Airway Collapsibility (Pcrit) and Pharyngeal Dilator Muscle Activity are Sleep Stage Dependent An anatomically narrow/highly collapsible upper airway is the main cause of obstructive sleep apnea (OSA). Upper airway muscle activity contributes to airway patency and, like apnea severity, can be sleep stage dependent. Conversely, existing data derived from a small number of participants suggest that upper airway collapsibility, measured by the passive pharyngeal critical closing pressure (...) : (1) awake with and without CPAP, (2) during stable sleep on CPAP, and (3) in response to the CPAP reductions used to quantify Pcrit.Pcrit was 4.9 ± 1.4 cmH2O higher (more collapsible) during REM versus SWS (P = 0.012), 2.3 ± 0.6 cmH2O higher during REM versus N2 (P < 0.001), and 1.6 ± 0.7 cmH2O higher in N2 versus SWS (P = 0.048). Muscle activity decreased from wakefulness to sleep and from SWS to N2 to REM sleep for genioglossus but not for tensor palatini. Pharyngeal muscle activity increased

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2016 Sleep

77. Pharyngeal pumping in Caenorhabditis elegans depends on tonic and phasic signaling from the nervous system (PubMed)

, a neuromuscular feeding organ. Here, we use pharmacology, optogenetics, genetics, and electrophysiology to investigate the roles of the nervous system and muscle in generating pharyngeal pumping. Hyperpolarization of the nervous system using a histamine-gated chloride channel abolishes pumping, and optogenetic stimulation of pharyngeal muscle in these animals causes abnormal contractions, demonstrating that normal pumping requires nervous system function. In mutants that pump slowly due to defective nervous (...) system function, tonic muscle stimulation causes rapid pumping, suggesting tonic neurotransmitter release may regulate pumping. However, tonic cholinergic motor neuron stimulation, but not tonic muscle stimulation, triggers pumps that electrophysiologically resemble typical rapid pumps. This suggests that pharyngeal cholinergic motor neurons are normally rhythmically, and not tonically active. These results demonstrate that the pharynx generates a myogenic rhythm in the presence of tonically released

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2016 Scientific reports

78. Chronic Pharyngeal Carriage of Streptococcus pyogenes

Cancer Administration 4 Chronic Pharyngeal Carriage of Streptococcus pyogenes Chronic Pharyngeal Carriage of Streptococcus pyogenes Aka: Chronic Pharyngeal Carriage of Streptococcus pyogenes , Group A Streptococcus Pharyngeal Carrier , GAS Pharyngeal Carrier From Related Chapters II. Signs Recurrent episodes GAS diagnosed with every new cold presumed due to non-GAS cause III. Diagnosis (Test when patient is well and asymptomatic) Streptococcal titer (ASO) Obtain baseline value Repeat in 4-6 weeks IV (...) Chronic Pharyngeal Carriage of Streptococcus pyogenes Chronic Pharyngeal Carriage of Streptococcus pyogenes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse

2018 FP Notebook

79. Group A Streptococcal Pharyngitis

Endocarditis V. Symptoms Stretococcal exposure in last 2 weeks ( 19%, 91%) ( >100.9) absent Myalgia VI. Signs See Palatal ( 7%, 95%) Pharyngeal exudate ( 26%, 88%) VII. Differential Diagnosis See Common other causes Posterior cervical adenopathy, and prolonged Hand, foot and mouth disease s, hand and foot skin lesions VIII. Labs Used to distinguish intermediate probability of Streptococcal Pharyngitis (Centor Score 2-3) : 86% : 96% Used to confirm a negative rapid antigen test IDSA recommends confirmatory (...) Group A Streptococcal Pharyngitis Group A Streptococcal Pharyngitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Group

2018 FP Notebook

80. Pharyngitis

Related Chapters II. Epidemiology One of four most common episodic clinic visit reasons III. Anatomy: Waldeyer's Tonsillar ring Nasopharynx Adenoids (pharyngeal s) at posterior wall Oropharynx Faucial ( s) at lateral wall) Hypopharynx Lingual at base IV. Causes See V. Symptoms Sore Throat (Difficulty swallowing) Odynophagia (pain with swallowing) ralized symptoms , Chills, Malaise or Symptoms suggestive of viral illness VI. Signs: Red flags (suggestive of serious cause) Unilateral Pharyngitis Toxic (...) and bacterial infections. Other causes include allergens, chemical substances, and trauma. Definition (NCI_CTCAE) A disorder characterized by inflammation of the throat. Definition (CSP) inflammation of the throat. Concepts Disease or Syndrome ( T047 ) MSH SnomedCT 141458004 , 164261009 , 37616004 , 405737000 English Pharyngitides , Inflamed throat , pharynx inflammation , inflammation of pharynx (physical finding) , pharyngeal inflammation , inflammation of pharynx , pharyngitis (diagnosis) , pharyngitis

2018 FP Notebook

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