Tonsillitis;Causes,,signs &symptoms and its management

TONSILITIS

DEFINITION: It is an inflammation of the tonsils. It is painful and commonly seen in children and sometimes can also be found in adult. It is mostly caused by beta hemolytic streptococcus, on rare occasion it can be caused by virus. It is one of the symptoms of malignant lymphomas. It should be noted that that the tonsil is one of the lymphoid structures that made up the immune system.

TYPE

It can be Acute or Chronic. Chronic tonsillitis is mostly by recurrent acute tonsillitis.

It can also be group as: Superficial Tonsillitis,  follicular tonsillitis and suppurative   tonsillitis.

SIGNS & SYMPTOMS

  • Enlarged, Reddened, swelling and painful tonsil.
  • Difficulty in swallowing/ dysphagia.
  • Fever
  • Malaise
  • Headache
  • Sore throat

COMPLICATION

  • Peritonsilar Infection/Abscess.
  • Hypertrophy of the tonsils
  • Quinsy
  • Rheumatic fever or nephritis following tonsilities.
  • Septicemia

INVESTIGATIONS

  • It is mostly clinical, that is that it always present with red swelling enlargement.
  • Throat Swab for microscopic, culture and sensitivity so as to detect the causative agent.
  • Full blood count.

MANAGEMENT

  1. Non Pharmacological Management:
  • Bed rest
  • Oral Hydration
  • Oral hygiene
  • Salt/ water gaggle
  1. Pharmacological Management: This is by use of
  • Antibiotics or antiviral drug depending one the diagnostic findings.
  • Analgesics
  • Vitamin C to aid in healing
  1. Surgical Management: This is the surgical of removal of the tonsils known as Tonsillectomy. This in mainly done as the last resort, mostly when it is cancerous/malignant, chronic or with abscess

 

 

 

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