6599-6516 Tonsillitis/Tonsillectomy
Definition
Tonsillitis is the acute inflammation of the lymphoid tissue (tonsils) located in the back of the mouth. Tonsillectomy is the surgical removal of the tonsils.
Etiology
There are a variety of organisms that could be the cause of tonsillitis. The group A beta-hemolytic streptococci is a common cause. Less commonly, a virus, infectious mononucleosis, or Vincent's angina can cause inflammation of the tonsils. Chronic inflammation and repeated episodes of bacterial tonsillitis are the usual indications for a tonsillectomy.
Signs & Symptoms
The condition is characterized by pain with swallowing, swelling and redness of the tonsils, with an exudate. A high fever, malaise, headache, and anorexia are common symptoms. Complications that may occur include: otitis media, peritonsillar abscess, and sinusitis.
Tests
A throat culture is done to identify the group A beta-hemolytic streptococcus.
Treatment
The general treatment is antibiotics for ten days if the culture is positive for the streptococcus. Symptomatic treatment includes: bedrest, antipyretics, saline gargles, and liquid diet.
Residuals
With proper treatment, carditis, rheumatic fever, or glomerulonephritis usually will not develop. Repeated episodes may lead to removal of the tonsils.
Special Considerations
None.