Tonsillitis

• • It is the inflammation of Tonsils

Etiology

1. 1. Viruses

   2. Pyogenic bacteria

      1. Haemophilus influenzae

      2. Streptococcus pneumoniae

      3. Group A hemolytic streptococcus

Symptoms

1. 1. Sore throat

   2. Fever

   3. Malaise

   4. Enlarged cervical lymph nodes

   5. Enlarged red tonsils

   6. Difficulty swallowing

Complications

1. 1. Peri-tonsilar abscess

   2. Retropharangeal abscess

   3. Rheumatic fever

   4. Glomerulonephritis

   5. Otitis media

   6. Obstructive sleep apnoea

Diagnosis

1. 1. FBC

   2. EUC

   3. Monospot blood test - mononucleosis

Treatment

1. 1. Analgesics(Paracetamol)

   2. Fluids

   3. Anti-biotics(Penicillins)

   4. Surgery

      1. Tonsillectomy

Indications for tonsillectomy

1. 1. Recurrent tonsillitis : more than 6/year

   2. Malignancy

   3. Abscess