Causes: cold, fatigue, decreasing of the resistance to diseases, smoke and drink to excess, stimulated by harmful gas ,etc.
1. Acute Catarrhal Tonsilitis
caused by virus, the symptom is light, inflammation located on mucosa
2. Acute Purulent Tonsilitis
caused by bacteria, the symptoms is severe, inflammation develop in deep layer, purulent discharge from tonsil crypt
● General : rise of temperature, chills, malaise, headache , a general feeling of illness, and appetite decrease, etc.
● Local: pain, pain felt only on swallowing, or swallowing is extremly painful, and dysphagia.
● pharyngeal mucosal diffuse congestion, the mucosal membrane of the fauces is bright red, uvula edema, the crypt filled with debris, desquamated epithelium and pus.
● lymph nodes: below the jaw draining the tonsillar area are frequently enlarged and tender
Diagnosis and Differential Diagnosis
◆ Vincent’s angina: infected with spirillum in symbiosis with a fusiform bacillus, poor dental hyigene,a bleeding ulcerative gums are covered with a membrane which spread to the tonsils. Diagnosis is bacteriological.*
◆ pharyngeal diphtheria: infected with Corynebacterium diphtheriae, most commonly affect fauces, may be relatively mild or very severe, a swab should be taken and do bacteriological comfirmation.
◆ the others:
● Local Complications: peritonsillar abscess (most common seen), retropharyngeal abscess (seldom seen), acute sinusitis, acute otitis media, and acute laryngitis, etc.
● General Complications: rheumatic fever, acute glomerulo-nephritis, acute arthritis, myocarditis, Ⅲtype allergic reaction, and bacterial toxin.
1.General therapy: in bed, diet should be light but nourishing, encourage to intake fluid,
2. Antibiotics therapy: Penicillin should be given, or erythromycin if the patient is allergic
3. Local treatment: soothing the affected membrane and clearing the secretion, inhalation,etc.
4. Chinese Medicines
5. Surgery: recurrence and relapse, particularly with complications.
Caused by repeated attacks of acute tonsilitis or influent drainage of the crypt.
Pathogen: bacteria infection, secondary to the acute infectious diseases or nasosinus infections.