Dysphagia as the Predominant Symptom in Chronic Tonsillopharyngitis with Acute Exacerbation: A Case Report
DOI:
https://doi.org/10.56951/kkdmv851Kata Kunci:
disfagia, tonsilofaringitis kronis, eksaserbasi akut, Streptococcus pyogenesAbstrak
Pendahuluan: Tonsilofaringitis kronis umumnya ditandai dengan sakit tenggorokan, demam, dan pembengkakan tonsil. Namun, disfagia sebagai gejala dominan pada tonsilofaringitis kronis dengan eksaserbasi akut termasuk jarang dilaporkan dan dapat berdampak signifikan terhadap kualitas hidup pasien. Kasus: Seorang pria berusia 25 tahun datang ke unit gawat darurat dengan keluhan utama disfagia, odinofagia, demam, serta perubahan suara selama tiga hari. Pemeriksaan orofaring menunjukkan tonsil membesar, hiperemia, dengan kripta yang melebar berisi sisa-sisa jaringan. Pemeriksaan laboratorium menunjukkan leukositosis yang bermakna dengan dominasi neutrofil, mengindikasikan infeksi bakteri
aktif. Kultur usap orofaring mengidentifikasi Streptococcus pyogenes yang sensitif terhadap beberapa antibiotik seperti ceftriaxone dan penicillin. Pasien didiagnosis dengan eksaserbasi akut tonsilofaringitis kronis dan mendapatkan terapi ceftriaxone intravena, dexamethasone, ranitidine, serta diet lunak. Perbaikan klinis terlihat dan pasien dipulangkan dengan terapi oral serta jadwal kontrol. Tonsilektomi sempat didiskusikan namun pasien menolak. Kesimpulan: Kasus ini
menegaskan bahwa disfagia dapat menjadi gejala utama pada eksaserbasi akut tonsilofaringitis kronis, sehingga diperlukan evaluasi menyeluruh dan terapi antimikroba yang tepat berdasarkan hasil kultur. Pengenalan dini dan penanganan yang
tepat sangat penting untuk mencegah komplikasi, mengurangi gejala, serta meningkatkan hasil klinis pasien.
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