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Respiratory Infections
(AURI)
Introduction
Acute respiratory infections (ARI) :
infection of the respiratory tract of
less than 3 weeks(21 days) duration.
• Acute tonsillo-pharyngitis
Aetiology: Rhinoviruses,
parainfluenza, influenza, coronavirus,
enterovirus and others. Occasionally
Group A β- haemolytic
Streptococcus.
Acute viral rhinitis (contd.)
Clinical Features
Incubation period:1-6 days
Frequency (6 – 12 episodes/year)
Duration of illness: usually 7 days
Symptoms: sneezing, rhinorrhoea & blocked
nostrils (classical triad), cough, headache,
low grade fever
Thin rhinorrhoea mucoid rhinorrhoea
mucopurulent rhinorrhoea
Others: sorethroat, malaise, loss of
appetite
Symptoms
In older children: fever, sorethroat,
dysphagia, headache and malaise.
Young children: fever, nausea,
vomiting and abdominal pain.
Exudative tonsillopharyngitis
(contd.)
Pyrexia T>380C, exudative tonsillar
enlargement.
Antibiotics
•Oral penicillin V 250mg qds x 10 days
•Single i.m. injection of benzathine penicillin
G (600,000 – 900,000 units for children
≥12 years)
•Oral erythromycin(30 -50 mg/kg/day) 3 – 4
divided doses, in penicillin- allergic
patients.
•Oral amoxycillin
•Oral azithromycin
Supportive
• Analgesic/antipyretic:
paracetamol/ibuprofen
• Adequate fluid and caloric intake
Acute tonsillitis with vesicles
(Herpagina)
Acute tonsillitis with membrane
(Diphtheritic tonsillitis)
Chronic otitis media
Definition
Perforated, painless, discharging ear,
almost always immobile tympanic
membrane.
Investigations
M/C/S of ear discharge
X-ray of mastoid
Audiometry
Tympanometry
Complications
Cholesteatoma
Mastoiditis
Central nervous system involvement
- Otogenic tetanus
- Meningitis
- Facial nerve palsy
- Lateral sinus thrombosis
- Abscesses: brain, subdural and
eustachian
Treatment
Ear (aural) toiletting
Flavine-in-spirit dressing
Systemic antibiotics controversial