Acute Tonsillitis

Acute tonsillitis is an inflammatory condition of the tonsils, typically caused by a viral or bacterial infection.

Symptoms of Tonsilitis

Differential Diagnosis

Infectious Mononucleosis (Mono)

Caused by the Epstein-Barr virus, mono can present with similar symptoms, including sore throat, fever, and swollen lymph nodes.
Streptococcal Pharyngitis

Caused by Group A beta-hemolytic streptococcus, this condition can present with a sore throat, fever, and swollen lymph nodes.
Lemierre's Syndrome

A rare condition caused by a bacterial infection, typically Fusobacterium necrophorum, which can present with a sore throat, fever, and swollen lymph nodes.
Diphtheria

A bacterial infection caused by Corynebacterium diphtheriae, which can present with a sore throat, fever, and a characteristic membrane covering the tonsils.
Vincent's Angina

A rare condition caused by a bacterial infection, typically Fusobacterium and Borrelia, which can present with a sore throat, fever, and swollen lymph nodes.
Herpangina

A viral infection caused by coxsackievirus, which can present with a sore throat, fever, and small blisters on the tonsils.
Oral Thrush

A fungal infection caused by Candida, which can present with white patches on the tonsils and throat.
Acute leukaemia
Agranulocytosis.
Laryngopharyngeal reflux but usually causes generalized hyperaemia of the pharyngeal mucosa.

Diagnostic Tests

Throat Swab: To identify the causative agent (bacterial or viral).

Rapid Strep Test: To quickly diagnose streptococcal pharyngitis.

Complete Blood Count (CBC): To evaluate for signs of infection or inflammation.

Imaging Studies: Such as X-rays or CT scans, may be ordered to evaluate for complications, such as abscesses.

ESR, CRP: To monitor inflammatory changes and progress.

Monospot test: To diagnosis Infectious mononucleosis

Treatment

Antibiotics

For bacterial tonsillitis, antibiotics such as penicillin or amoxicillin may be prescribed.
Pain Management

Over-the-counter pain medications, such as acetaminophen or ibuprofen, may be recommended to manage pain and discomfort.
Rest and Hydration

Encouraging rest and hydration can help alleviate symptoms.
Tonsillectomy

In some cases, surgical removal of the tonsils may be recommended, especially if there are recurrent episodes of tonsillitis.

Remember, if you’re unsure about the cause of your sore throat or if it persists, consult a healthcare professional for proper evaluation and treatment.

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