Ear infection and sore throat

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Ear Infection and Sore Throat: Insights from Recent Research

Duration of Symptoms in Children with Ear Infections and Sore Throats

Ear infections and sore throats are common ailments in children, often leading to significant discomfort and concern for parents. A systematic review aimed to determine the expected duration of these symptoms in children. The study found that earache typically resolves within seven to eight days in 90% of children, while sore throat symptoms generally resolve between two and seven days . This information is crucial for guiding parents and clinicians in managing expectations and treatment plans for these common pediatric conditions.

ENT Manifestations in COVID-19 Patients

The COVID-19 pandemic has brought attention to various ENT (ear, nose, and throat) symptoms associated with the virus. Research indicates that sore throat is a relatively common symptom, occurring in approximately 11.3% of COVID-19 patients El-Anwar2020Al-Swiahb2021. Other ENT-related symptoms include pharyngeal erythema, nasal congestion, and runny nose, though these are less frequently reported. Understanding these manifestations can aid in the early diagnosis and management of COVID-19, especially in patients presenting with ENT symptoms.

Severe Complications: A Case of Lemierre’s Syndrome

A case study highlighted the potential severity of sore throat complications. A 17-year-old woman initially diagnosed with suspected H1N1 influenza was later found to have Lemierre’s syndrome, a rare but life-threatening condition characterized by septic thrombophlebitis of the internal jugular vein. This condition followed an oropharyngeal infection and was complicated by ear pain and other severe symptoms . This case underscores the importance of considering bacterial infections in patients with persistent or severe sore throat symptoms, even during viral outbreaks.

Alternative Treatments: Ear Acupuncture for Sore Throat Pain

Exploring alternative treatments, a randomized controlled trial investigated the efficacy of auricular acupuncture for acute sore throat pain. The study found that patients receiving ear acupuncture reported significantly lower pain scores and reduced use of pain medication compared to those receiving standard therapy alone . This suggests that auricular acupuncture could be a beneficial adjunct treatment for managing sore throat pain, offering a non-pharmacological option for pain relief.

Conclusion

Ear infections and sore throats are prevalent conditions with varying durations and potential complications. While most cases resolve within a week, severe complications like Lemierre’s syndrome can occur, necessitating careful evaluation and management. The COVID-19 pandemic has also highlighted the importance of recognizing ENT symptoms for early diagnosis. Additionally, alternative treatments such as auricular acupuncture show promise in managing sore throat pain, providing new avenues for patient care. Understanding these insights can help clinicians and parents make informed decisions and improve outcomes for those affected by these common ailments.

Sources and full results

Most relevant research papers on this topic

Duration of symptoms of respiratory tract infections in children: systematic review

Earache and common cold durations in children are significantly longer than current guidance, while current guidance for sore throat, acute cough, bronchiolitis, and croup is consistent with our findings.

Systematic ReviewRigorous JournalHighly Cited

2013·

247citations

·Matthew J. Thompson et al.

The BMJ·

DOI

ENT manifestation in COVID-19 patients

Abstract Objective to detect, analyze and discuss the different ear nose throat (ENT) manifestations those were reported in COVID19 positive patients in the reviewed and published literatures. Methods We performed a search in the PubMed databases, Web of Science, LILACS, MEDLINE, SciELO, and Cochrane Library using the keywords; COVID-19, Novel coronavirus, corona, 2019-nCoV, SARS-CoV-2, ENT, ear, nose, throat, otorhinolaryngology, ORL, pharynx, ORL, smell, larynx, different ENT related symptoms. We reviewed published and peer reviewed studies that reported the ENT manifestations in COVID-19 laboratory-confirmed positive patients. Results within the included 1773 COVID-19 laboratory-confirmed positive patients, the most common ENT manifestations of COVID-19 were sore throat (11.3%) and headache (10.7%). While the other reported ENT manifestations were pharyngeal erythema (5.3%), nasal congestion (4.1%), runny nose or rhinorrhea (2.1%), upper respiratory tract infection (URTI) (1.9%), and tonsil enlargement (1.3%). Conclusion ENT manifestations for COVID-19 are not common as fever and cough. But, a universal questionnaire using well-defined COVID-19 manifestations is needed to make the COVID-19 data precisely defined, complete and homogenous.

Systematic ReviewHighly Cited

2020·

111citations

·M. El-Anwar et al.

Auris, Nasus, Larynx·

DOI

A life-threatening sore throat masquerading as swine flu.

The patient's symptoms were initially misdiagnosed as swine flu, but after receiving treatment, she recovered and underwent a successful mastoidectomy.

Case ReportRigorous Journal

2010·

4citations

·V. Kahr et al.

Lancet·

DOI

Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial

Auricular acupuncture reduces sore throat pain for 24 hours and decreases pain medication usage for up to 48 hours, but does not affect work hours missed.

RCT

2015·

35citations

·David A. Moss et al.

The Journal of the American Board of Family Medicine·

DOI

Upper respiratory tract and otolaryngological manifestations of coronavirus disease 2019 (COVID-19): A systemic review

COVID-19 presents with a wide spectrum of clinical symptoms, and early detection of otolaryngologic symptoms can help limit disease spread.

Systematic ReviewRigorous Journal

2021·

14citations

·Jamil N Al-Swiahb et al.

SAGE Open Medicine·

DOI

Predictors of suppurative complications for acute sore throat in primary care: prospective clinical cohort study

Acute sore throat complications are uncommon, and history and examination alone cannot effectively predict complications.

Observational StudyRigorous JournalHighly Cited

2013·

110citations

·P. Little et al.

The BMJ·

DOI

Evaluation of the patient with sore throat, earache, and sinusitis: an evidence based approach.

Sore throat, earache, and sinusitis are common presenting complaints in the emergency department, often benign but occasionally symptomatic of serious diseases.

Literature Review

1999·

15citations

·Mary H. Stewart et al.

Emergency medicine clinics of North America·

DOI

Ethnobotanical treatments for earache and sore throat

Iranian traditional medicine uses medicinal plants like Artemisia, pumpkin, Quarcus brantii, sheng, barangan, Solanum nigru, Mentha pulegium, hashshir, sage, eucalyptus, currant, bullfish, cannabis, and cum

Systematic Review

2019·

2citations

·Behrooz Farzan et al.

International Journal of Research in Pharmaceutical Sciences·

DOI

Implementation Learning Vector Quantization Using Neural Network for Classification of Ear, Nose and Throat Disease

A neural network using a quantization learning vector method effectively categorizes ear, nose, and throat disorders with an average accuracy of 67% and a mean square error of 0.2.

2022·

1citation

·S. Samsir et al.

Journal of Physics: Conference Series·

DOI

Ear, nose, and throat

ENT medicine in general practice includes dental, jaw, and throat issues, as well as nasal and ear problems, and includes treatments for deafness, tinnitus, and vertigo.

2020·

0citations

·C. Simon et al.

Oxford Handbook of General Practice·

DOI

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