Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Acute on chronic tonsillitis with streptococcal throat infection on penicillin.

Resolved Question:

hi, myself amit kumar. 29 yrs male.i have a history of frequent sore throat right from my childhood. i have been treated with augmentin, penicilling etc.
3 yrs back i was tested for strep throat( pus:white spots were visible in tonsils). when blood test and urine test was done. Streptococcus infection was found. then doctors gave me cefuroxime axetil tabs. it was recurrent ebry 4 months . Augmentin and Cefuroxime dint work. Cephalexin was given then, again it recurred after 4 months and was treated with cephalexin. Later on Cephalexin stopped working. Then i was prescribed with Clindamycin 300(3times a day)for 10 days. and it worked. Now again after 5 months i have a severe strep throat with white patches all over and high fever. Please guide what should i have now. Clindamycin or something else

Category: ENT Specialist

Ask Your Own Question

Category: ENT Specialist
 18 Doctors Online

Hello,

Thank you your query at DoctotrSping.

I can understand your problem, and will try to help you the best possible
You are suffering from Acute on chronic tonsillitis.

First of all your throat swab culture and sensitivity test (sample will be taken by touching a swab stick from your tonsil to find out causative bacteria and , they will check which antibiotic will work on it.) should be done, even it was done now it should be repeated.

Blood test just to check TC, DC. (total count , differential count), these counts increases in acute infection so it will conform acute infection is present

Treatment : (To be discussed with your Doctor and then initiate under his/ her guidance)

Augmentin (amoxicillin and clavulainc acid) is the 1st line drug, as it did not work last we can start 2nd line drug azithromycin (azee 500 mg once daily for 3 days).

We can add clindamycin so it will cover (it covers different group of bacteria, but as you have severe infection we should start this also.
With all this we should add medication which work for normal cold (antihistamines), analgesic, and medicine for acidity.

So your prescription will be-
Cap. Azithromycin (azee 500 mg once daily for 3 days).
Clindamycin 300(3times a day)for one week
Tab. Solvincold two times daily for 5 days
Tab. Zerodol two times daily for 5 days (analgesic)
Tab. Omez 20 mg two times daily 5 days

Summary of treatment:
• To consult an ENT specialist and do throat swab test
• To blood test (TC, DC)
• To start following medication – (To be discussed with your Doctor and then initiate under his/ her guidance)
Cap. Azithromycin (azee 500 mg once daily for 3 days).
Clindamycin 300(3times a day)for one week
Tab. Solvincold two times daily for 5 days
Tab. Zerodol two times daily for 5 days (analgesic)
Tab. Omez 20 mg two times daily 5 days

To follow you Throat swab result

Hope this helps. Feel free to ask if you have any further queries.

Thank you.
Regards
Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)


Dr. Sunil Jalan
Category: ENT Specialist
Experience: 
DAA (Diploma in asthma and allergy) : Christian Medical College, Vellore, 2012
D.N.B (ENT), 2011
Residency - M.S. (Master post graduate degree in otorhinolaryngology),  Christian Medical College, Vellore, 2009
D.L.O. (Diploma in otorhinolaryngology) - Christian Medical College, Vellore, 2007
Medical School - M.B.B.S, S.P. Medical college, Bikaner, 2004
Dr. Sunil Jalan and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news