Ear infection sore throat

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Ear Infection and Sore Throat: Understanding the Connection

Duration of Symptoms in Respiratory Tract Infections

Earache and Sore Throat in Children

Ear infections and sore throats are common symptoms in children suffering from respiratory tract infections. A systematic review of existing literature has shown that earache typically resolves within seven to eight days in 90% of children, while sore throat symptoms tend to resolve between two and seven days . This data is crucial for parents and healthcare providers to set realistic expectations for recovery times and to make informed decisions about treatment.

ENT Manifestations in COVID-19 Patients

Sore Throat and Ear Pain in COVID-19

COVID-19 has been associated with a variety of ENT (ear, nose, and throat) symptoms. Among these, sore throat is relatively common, reported in 11.3% of COVID-19 patients . Other ENT symptoms include headache, pharyngeal erythema, nasal congestion, and runny nose . These findings highlight the importance of considering COVID-19 in patients presenting with sore throat and other ENT symptoms, especially during the pandemic.

Variability in Clinical Presentation

The clinical presentation of COVID-19 can vary widely among individuals. While fever, cough, and fatigue are the most common symptoms, sore throat and other ENT manifestations like rhinorrhea and nasal congestion are also reported, albeit less frequently . This variability underscores the need for comprehensive diagnostic criteria to ensure early detection and treatment of COVID-19, potentially limiting the spread of the virus.

Case Study: Life-Threatening Sore Throat

Lemierre’s Syndrome

A case study of a 17-year-old woman illustrates the potential severity of sore throat symptoms. Initially misdiagnosed with swine flu, she was later found to have Lemierre’s syndrome, a rare but life-threatening condition caused by Fusobacterium necrophorum. This condition led to septic thrombophlebitis of the internal jugular vein, requiring intensive treatment and prolonged recovery . This case emphasizes the importance of thorough diagnostic evaluations to rule out serious bacterial infections in patients presenting with sore throat and ear pain.

Conclusion

Ear infections and sore throats are common symptoms in respiratory tract infections, with varying durations and potential complications. In the context of COVID-19, these symptoms can be part of a broader spectrum of ENT manifestations, necessitating careful consideration and diagnosis. Additionally, rare but severe conditions like Lemierre’s syndrome highlight the critical need for accurate diagnosis and appropriate treatment to prevent life-threatening complications. Understanding these aspects can aid in better management and treatment of patients with ear infections and sore throats.

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·

232citations

·Matthew J. Thompsonet al.

The BMJ

PDF

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·

106citations

·M. El-Anwaret al.

Auris, Nasus, Larynx

PDF

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-Swiahbet al.

SAGE Open Medicine

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. Kahret al.

The Lancet

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 Farzanet al.

International Journal of Research in Pharmaceutical Sciences

PDF

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·

0citations

·S. Samsiret al.

Journal of Physics: Conference Series

PDF

When your child does not need antibiotics.

Antibiotics are not effective for viral infections, such as colds, bronchitis, and pneumonia, and should not be used for viral infections.

2013·

2citations

·M. Moreno

JAMA pediatrics

PDF

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·

32citations

·David A. Mosset al.

The Journal of the American Board of Family Medicine

PDF

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. Stewartet al.

Emergency medicine clinics of North America

An overview of the microbiology of acute ear, nose and throat infections requiring hospitalisation

Fusobacterium necrophorum is a more widespread pathogen in ear, nose, and throat infections than previously reported, and routine culturing is rarely useful in determining initial treatment.

Observational Study

2009·

48citations

·M. Rusanet al.

European Journal of Clinical Microbiology & Infectious Diseases

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