18. tonsillitis - pathogenesis
• disruption of the drainage function of the lacunae,
accumulation of a secretion and waste products of
microbes;
• disturbance of tissue metabolism in the tonsils;
• reduction of barrier properties of the tonsils, including
production of secretory immunoglobulins A;
• appearance of inflammatory reactions in the form of
frequent pain and metatonsillar complications.
29. ANTIBIOTICS
• Penicillin V 25-50 mg/kg/day divided q6h for
10d or
• Benzathine penicillin G 25,000 U/kg IM once
(maximum 1.2 million U) or
• Amoxicillin 50 mg/kg/day PO in 2 or 3
divided doses for 10d or
31. ANTIBIOTICS
• Azithromycin 12 mg/kg PO once daily for
5d or
• Clarithromycin 250 mg PO q12h for
10d or
• Erythromycin succinate 20 mg/kg PO BID
for 10d or
• Clindamycin 20 mg/kg/day PO in 3
divided doses (maximum 1.8 g/d) for 10d