Viral tonsillopharyngitis (Pediatrics - PEDS)

Very low urgency
Common-

Inflammation of the pharynx and tonsils caused by infection by a virus. It frequently appears between 3 and 5 years of age.

It begins as a catarrhal picture with a cough and later is accompanied by slight pain when swallowing. It is rare that it is accompanied by fever, pus in the tonsils or lymph nodes in the neck.

Diagnosis is clinical, by interrogation and physical examination. In some cases, a laboratory analysis is requested to differentiate it from a bacterial infection.

As it is a viral infection it is not necessary to treat with antibiotics. It is advisable to reduce the local pain with usual analgesics and home remedies such as gargling with warm water and salt can be used.

See your pediatrician for assessment if there is prolonged or very high fever, if the pain prevents proper feeding or if there are problems in the mobility of the neck.

Bibliographic references
  1. Michael A. Rubin, Larry C. Ford, Ralph Gonzales. Faringitis, otalgia y síntomas de la porción superior de las vías respiratorias. Infecciones de la faringe y la cavidad bucal. Harrison. Principios de Medicina Interna. Volumen 1. 19ª Edición. 231:235.
  2. J. Mensa. Infecciones en otorrinolaringología. Infecciones de la faringe: faringitis. Farreras Rozman. Medicina Interna. Volumen II. Duodécima edición. 2498:2500.
  3. Alcaide ML, Bisno AL. Pharyngitis and epiglottitis. Infect Dis Clin North Am 2007; 21:449.
  4. Ellen R Wald. Group A streptococcal tonsillopharyngitis in children and adolescents: Clinical features and diagnosis. UpToDate. Sep 29, 2019.
  5. Jan E Drutz. Sore throat in children and adolescents: Symptomatic treatment. UpToDate. Sep 16, 2016.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Red or swollen tonsils


    Pus on tonsils


    Irritation or inflammation of the throat


    Sore throat


    Pain when swallowing

Symptoms to watch out for

Fever not relieved by antipyretics (paracetamol, ibuprofen)
Inability to swallow
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).
Difficulty breathing or drooling

Self-care

Use over-the-counter analgesics and antipyretics for muscle pain or fever (temperature > 100.4 F).
Relative rest, rest until symptoms subside.
Perform 2 sessions a day with air humidifier.
Do not take antibiotics without a doctor's prescription.
Maintain a fluid intake of 6 - 8 cups per day.
Avoid smoking near the infant.