Acute Tonsillitis

• Acute catarrhal or superficial tonsillitis
• Acute follicular tonsillitis
• Acute parenchymatous tonsillitis.
• Acute membranous tonsillitis

• Mostly affects school going children
• Most common causative organism:
  • Haemolytic streptococcus
• ​​​​​​​Others
  • staphylococci
  • pneumococci 
  • H. influenzae

• Sore throat.
• Difficulty in swallowing.
• Fever. (may be associated with chills and rigor)
• Earache.
• Constitutional symptoms.

• Hyperaemia of pillars, soft palate and uvula.
• Acute follicular tonsillitis
  • Tonsils red and swollen with yellowish spots
• Acute membranous tonsillitis
  • Whitish membrane on the medial surface of tonsil
• Acute parenchymatous tonsillitis
  • ​​​​​​​Tonsils enlarged and congested
  • May meet in the midline
• Jugulodigastric lymph nodes are enlarged and tender.

• Plenty of fluids
• Analgesics
• Antimicrobial therapy
  • Penicillin
  • Erythromycin in Penicillin allergy

• Chronic tonsillitis
• Peritonsillar abscess
• Parapharyngeal abscess
• Cervical abscess
• Acute otitis media
• Rheumatic fever
• Acute glomerulonephritis( Rare)
• Subacute bacterial endocarditis.

6th edition : Diseases of ENT & HN surgery

PL Dhingra, Shruti Dhingra

Page no 258 -259