Sore Throat 

A sore throat is usually due to acute tonsillitis or acute pharyngitis. On occasions acid reflux is the primary cause.

Acute tonsillitis affects mainly the sides of the throat and can be caused by viruses and/or bacteria. There is fever, halitosis, pain on swallowing, enlarged red inflamed tonsils with exudates, tender swollen neck glands and the patient feels generally sick and unwell. Acute pharyngitis, which affects the centre of the back of the throat as well as the sides, is usually caused by a virus. It tends to give milder symptoms and typically results in a URTI with nasal irritation and congestion. Glandular fever caused by the Epstein Barr virus is an exception, however, and causes symptoms like very severe tonsillitis.

Diagnostics

Swab for microscopy and culture

Blood test for white blood cell count and Monospot to diagnose glandular fever.