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Tonsillitis
Other Resources UpToDate PubMed

Tonsillitis

Contributors: Neil Mendoza MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Tonsillitis is a general term referring to inflammation of tonsillar tissue. Many pathogens can cause tonsillitis (usually associated with acute viral or bacterial pharyngitis) including groups A, C, and G Streptococcus, Fusobacterium necrophorum, Neisseria gonorrhoeae, Corynebacterium diphtheriae, and viral pathogens.

This condition affects both children and adults.

It is usually not possible to determine the etiologic agent responsible for tonsillitis based on symptoms alone. Patients present with tonsillar enlargement and pharyngeal erythema. There may be tonsillar exudate. Rash and lymphadenopathy may also be present. Symptoms usually last for about 1 week.

Diagnostic modalities focus on identifying group A Streptococcus, as antimicrobial treatment is indicated to prevent rheumatic fever. Diagnosis can be made by rapid antigen detection testing or throat culture. Testing for other causes of tonsillitis varies depending on the pathogen suspected.

Codes

ICD10CM:
J03.90 – Acute tonsillitis, unspecified
J35.01 – Chronic tonsillitis

SNOMEDCT:
90176007 – Tonsillitis

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Last Reviewed:01/31/2017
Last Updated:03/22/2017
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Tonsillitis
A medical illustration showing key findings of Tonsillitis : Fever, Hoarseness, Tonsillar enlargement, Tonsillar exudates, Dysphagia, Pharyngitis
Clinical image of Tonsillitis - imageId=5314053. Click to open in gallery.  caption: '<span>Exudative tonsillitis.  24 year old male presented with severe sore throat, fever with chills, body aches,  and malaise. On examination, there was pus on the tonsillar area with  swollen uvula and bilateral, tender, palpable jugulodigastric lymph nodes. </span>'
Exudative tonsillitis. 24 year old male presented with severe sore throat, fever with chills, body aches, and malaise. On examination, there was pus on the tonsillar area with swollen uvula and bilateral, tender, palpable jugulodigastric lymph nodes.
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