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.