Viral tonsillopharyngitis (Paediatrics)

Very low urgency
Common-

Inflammation of the pharynx and tonsils caused by infection due to a virus. It tends to happen in toddlers aged 3 to 5 years old.

It begins with catarrhal symptoms and a cough, followed by mild pain when swallowing. However, it is rare to see fever, pus and swollen lymph glands in the neck.

Diagnosis is clinical through questioning and a physical examination. Sometimes a laboratory test is needed to rule out a bacterial infection.

As it is a viral infection, treatment is only symptomatic of the pain with common analgesics and antibiotics are not needed. Home remedies can also be used like rinses with warm water and salt.

Check with your paediatrician if there is persistent or very high fever, if the pain prevents from a correct nutrition or if neck mobility problems appear.

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 that doesn't subside with antipyretics (paracetamol, ibuprofen)
Inability to swallow
History of immunodeficiency (HIV, diabetes mellitus, oncological disorders, long-term corticosteroid consumption).
Difficulty breathing or drooling

Self-care

Consume over-the-counter analgesics and antipyretics in case of muscle pain or fever (Tº > 38ºC).
Relative rest, rest until symptoms subside.
2 sessions a day with an air humidifier.
Do not take antibiotics without medical advice.
Maintain hydration of 2 litres per day.
Avoid smoking near the infant.