Albanian to English Medical Medical: Health Care Diagnosis

What is this, in English? Could it be "coated tongue"?

I have an epikrizë where one line consists of this expression and nothing more. Most Google hits translate to "aggressive language" but this one is dealing with typhoid fever:

Aparati kardiovaskular, nuk u vune re ndryshmime te rendesishme
pervec nje takikardi te shprehur, frymemarja e shpejte 60/min , ne
mushkeri nje frymemarje shume e ashper dhe rale te
paqendrueshme te imta te thata, barku i bute, i dhimbshem, hepari
e lieni lehtesisht te ritura, tonsilat me hiperemi shume te shprehur,
mukozat e gojes te thata hiperemike, gjuha e ngarkuar , ...