TONSILITIS
DEFINITION:
It is the inflammation of the tonsils.
TYPES:
ACUTE
Sub acute
Chronic
ACCUTE TONSILITIS:
It is the acute inflammation of the tonsil.
CLASSIFICATION
1)Acute catarrhal / superficial
2)Acute follicular
3)Acute parenchymatous
4)Acute membranous
AETIOLOGY:
Age :
CHILD
Sex :
BOTH
Predisposing factors:
Preexisting chronic tonsillitis
Post nasal discharge due to chronic tonsillitis
Preexisting infections of URT
General lowering of resistance
Ingestion of cool drinks
Infection can be contracted from others
CAUSATIVE ORGANISMS :
Haemolytic streptococcus- most common
Staphylococci
Pneumococci
H.infuenzae
Diptheriods
SYMPTOMS:
Sore throat.
Difficulty in swallowing
Fever.
Otalgia
Foul breath
Constitutional symptoms:
Headache
General body aches
Malaise
Constipation
Thick & muffled voice
SIGNS:
Foetid breath & coasted tongue.
Hyperaemia of pillars, soft palate& uvula
Follicular: Red & swollen tonsils with yellowish purulent material at crypts
Membranous: Whitish membrane on the medial surface can be wiped off
Parenchymatous: Enlarged & congested tonsils with oedema of uvula & soft palate.
Tender & enlarged jugulodigastric lymph nodes.
TREATMENT:
Bed rest & soft diet.
Analgesics & antibiotics to be given.
Warm saline gargles are soothing.
Lozenges with local anaesthetic action.
Antimicrobial therapy
Tonsillectomy for recurrent attack.
Note: rash appear if amoxycillin or ampicillin are given
COMPLICATIONS:
Acute otitis media
Peritonsillar abscess
Parapharyngeal abscess
Cervical abscess
Rheumatic fever
Acute glomerulonephritis
Subacute bacterial endocarditis
Acute nephritis
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