Tonsillitis: Difference between revisions
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{{Infobox medical condition | |||
| name = Tonsillitis | |||
| image = [[File:Pos_strep.JPG|left|thumb|Tonsillitis caused by [[Streptococcus]]]] | |||
| caption = Tonsillitis caused by [[Streptococcus]] | |||
| field = [[Otorhinolaryngology]] | |||
| synonyms = | |||
| pronunciation = | |||
| symptoms = [[Sore throat]], [[fever]], [[swollen tonsils]], [[difficulty swallowing]] | |||
| complications = [[Peritonsillar abscess]], [[sleep apnea]] | |||
| onset = | |||
| duration = | |||
| types = [[Acute tonsillitis]], [[chronic tonsillitis]], [[recurrent tonsillitis]] | |||
| causes = [[Viral infection]], [[bacterial infection]] | |||
| risks = [[Young age]], [[close contact with infected individuals]] | |||
| diagnosis = [[Physical examination]], [[throat culture]], [[rapid strep test]] | |||
| differential = [[Pharyngitis]], [[mononucleosis]], [[diphtheria]] | |||
| prevention = [[Hand washing]], [[avoiding close contact]] | |||
| treatment = [[Analgesics]], [[antibiotics]], [[tonsillectomy]] | |||
| medication = [[Paracetamol]], [[ibuprofen]], [[penicillin]] | |||
| prognosis = Generally good with treatment | |||
| frequency = Common | |||
| deaths = Rare | |||
}} | |||
Tonsillitis is characterized by infection and inflammation of the [[tonsils]]. In the back of the throat are two oval-shaped masses of lymphoid tissue called the tonsils. This infection is characterized by tonsil inflammation and enlargement, resulting in sore throat, difficulty swallowing, and fever. Tonsillitis can be caused by a variety of viruses and bacteria, with [[Group A Streptococcus]] being the most common (GAS). | Tonsillitis is characterized by infection and inflammation of the [[tonsils]]. In the back of the throat are two oval-shaped masses of lymphoid tissue called the tonsils. This infection is characterized by tonsil inflammation and enlargement, resulting in sore throat, difficulty swallowing, and fever. Tonsillitis can be caused by a variety of viruses and bacteria, with [[Group A Streptococcus]] being the most common (GAS). | ||
== Causes and risk factors == | == Causes and risk factors == | ||
Tonsillitis is typically caused by viral infections such as the common cold, influenza, or the [[Epstein-Barr virus]] (EBV). Additionally, bacterial infections, specifically Group A Streptococcus, can cause tonsillitis. The following are some risk factors for developing tonsillitis: | Tonsillitis is typically caused by viral infections such as the common cold, influenza, or the [[Epstein-Barr virus]] (EBV). Additionally, bacterial infections, specifically Group A Streptococcus, can cause tonsillitis. The following are some risk factors for developing tonsillitis: | ||
Tonsillitis is most prevalent in children aged 5 to 15 years. | Tonsillitis is most prevalent in children aged 5 to 15 years. | ||
Children in school or daycare settings are more likely to be frequently exposed to viruses and bacteria. | Children in school or daycare settings are more likely to be frequently exposed to viruses and bacteria. | ||
People with compromised immune systems are at a greater risk of developing infections, including tonsillitis. | People with compromised immune systems are at a greater risk of developing infections, including tonsillitis. | ||
== Signs and symptoms == | == Signs and symptoms == | ||
Tonsillitis symptoms may vary depending on the underlying cause, but typically include: | Tonsillitis symptoms may vary depending on the underlying cause, but typically include: | ||
* Sore throat | * Sore throat | ||
* Trouble swallowing | * Trouble swallowing | ||
| Line 22: | Line 40: | ||
* Stomachache (more common in young children) | * Stomachache (more common in young children) | ||
* Fatigue | * Fatigue | ||
== Diagnosis == | == Diagnosis == | ||
Tonsillitis is typically diagnosed based on a physical examination and assessment of symptoms by a medical professional. In addition, the following tests may be performed to determine the source of the infection: | Tonsillitis is typically diagnosed based on a physical examination and assessment of symptoms by a medical professional. In addition, the following tests may be performed to determine the source of the infection: | ||
A swab is taken from the back of the throat to test for the presence of bacteria, specifically Group A Streptococcus, during a throat culture. | A swab is taken from the back of the throat to test for the presence of bacteria, specifically Group A Streptococcus, during a throat culture. | ||
Rapid antigen test: This test can detect streptococcal bacteria in minutes, but false-negative results are possible. If the rapid test is negative, it is still possible to perform a throat culture. | Rapid antigen test: This test can detect streptococcal bacteria in minutes, but false-negative results are possible. If the rapid test is negative, it is still possible to perform a throat culture. | ||
== Therapy == | == Therapy == | ||
Tonsillitis treatment depends on the cause of the infection. | Tonsillitis treatment depends on the cause of the infection. | ||
There is no specific treatment for viral infections, and they typically resolve on their own within seven to ten days. Pain relievers available over-the-counter, such as [[acetaminophen]] or [[ibuprofen]], etc. | There is no specific treatment for viral infections, and they typically resolve on their own within seven to ten days. Pain relievers available over-the-counter, such as [[acetaminophen]] or [[ibuprofen]], etc. | ||
If bacterial infection is the cause, antibiotics may be prescribed. Even if symptoms improve, it is essential to complete the entire course of antibiotics to ensure that the infection is completely treated. | If bacterial infection is the cause, antibiotics may be prescribed. Even if symptoms improve, it is essential to complete the entire course of antibiotics to ensure that the infection is completely treated. | ||
Penicillin or amoxicillin are the most commonly used antibiotics, but alternative antibiotics may be prescribed for those with a penicillin allergy. | Penicillin or amoxicillin are the most commonly used antibiotics, but alternative antibiotics may be prescribed for those with a penicillin allergy. | ||
Tonsillectomy may be recommended to remove the tonsils in cases of tonsillitis that are severe or recurrent. | Tonsillectomy may be recommended to remove the tonsils in cases of tonsillitis that are severe or recurrent. | ||
=== Prophylaxis === | === Prophylaxis === | ||
To reduce the risk of tonsillitis, it is essential to maintain good hygiene and avoid exposure to viruses and bacteria, such as: | To reduce the risk of tonsillitis, it is essential to maintain good hygiene and avoid exposure to viruses and bacteria, such as: | ||
* Frequent hand washing with soap and water | * Frequent hand washing with soap and water | ||
* Avoiding close contact with individuals with colds or other respiratory illnesses | * Avoiding close contact with individuals with colds or other respiratory illnesses | ||
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* Maintaining current immunizations, including the [[flu vaccine]] | * Maintaining current immunizations, including the [[flu vaccine]] | ||
== Also see == | == Also see == | ||
* [[Pharyngitis]] | * [[Pharyngitis]] | ||
* Tonsilectomy | * Tonsilectomy | ||
Latest revision as of 19:49, 8 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Tonsillitis | |
|---|---|
 | |
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Sore throat, fever, swollen tonsils, difficulty swallowing |
| Complications | Peritonsillar abscess, sleep apnea |
| Onset | |
| Duration | |
| Types | Acute tonsillitis, chronic tonsillitis, recurrent tonsillitis |
| Causes | Viral infection, bacterial infection |
| Risks | Young age, close contact with infected individuals |
| Diagnosis | Physical examination, throat culture, rapid strep test |
| Differential diagnosis | Pharyngitis, mononucleosis, diphtheria |
| Prevention | Hand washing, avoiding close contact |
| Treatment | Analgesics, antibiotics, tonsillectomy |
| Medication | Paracetamol, ibuprofen, penicillin |
| Prognosis | Generally good with treatment |
| Frequency | Common |
| Deaths | Rare |
Tonsillitis is characterized by infection and inflammation of the tonsils. In the back of the throat are two oval-shaped masses of lymphoid tissue called the tonsils. This infection is characterized by tonsil inflammation and enlargement, resulting in sore throat, difficulty swallowing, and fever. Tonsillitis can be caused by a variety of viruses and bacteria, with Group A Streptococcus being the most common (GAS).
Causes and risk factors[edit]
Tonsillitis is typically caused by viral infections such as the common cold, influenza, or the Epstein-Barr virus (EBV). Additionally, bacterial infections, specifically Group A Streptococcus, can cause tonsillitis. The following are some risk factors for developing tonsillitis: Tonsillitis is most prevalent in children aged 5 to 15 years. Children in school or daycare settings are more likely to be frequently exposed to viruses and bacteria. People with compromised immune systems are at a greater risk of developing infections, including tonsillitis.
Signs and symptoms[edit]
Tonsillitis symptoms may vary depending on the underlying cause, but typically include:
- Sore throat
- Trouble swallowing
- Swollen, red tonsils, occasionally with white patches or pus streaks.
- Enlargement of neck lymph nodes
- Fever
- Poor breath
- Migraine
- Stomachache (more common in young children)
- Fatigue
Diagnosis[edit]
Tonsillitis is typically diagnosed based on a physical examination and assessment of symptoms by a medical professional. In addition, the following tests may be performed to determine the source of the infection: A swab is taken from the back of the throat to test for the presence of bacteria, specifically Group A Streptococcus, during a throat culture. Rapid antigen test: This test can detect streptococcal bacteria in minutes, but false-negative results are possible. If the rapid test is negative, it is still possible to perform a throat culture.
Therapy[edit]
Tonsillitis treatment depends on the cause of the infection. There is no specific treatment for viral infections, and they typically resolve on their own within seven to ten days. Pain relievers available over-the-counter, such as acetaminophen or ibuprofen, etc. If bacterial infection is the cause, antibiotics may be prescribed. Even if symptoms improve, it is essential to complete the entire course of antibiotics to ensure that the infection is completely treated. Penicillin or amoxicillin are the most commonly used antibiotics, but alternative antibiotics may be prescribed for those with a penicillin allergy. Tonsillectomy may be recommended to remove the tonsils in cases of tonsillitis that are severe or recurrent.
Prophylaxis[edit]
To reduce the risk of tonsillitis, it is essential to maintain good hygiene and avoid exposure to viruses and bacteria, such as:
- Frequent hand washing with soap and water
- Avoiding close contact with individuals with colds or other respiratory illnesses
- Not sharing food, drinks, or utensils
- Maintaining current immunizations, including the flu vaccine
Also see[edit]
- Pharyngitis
- Tonsilectomy
- Lymphoid tissue
- Streptococcus pharyngitis
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