Tonsillitis or tonsillitis, tonsillitis short, is an inflammation of the tonsils. Pathogens associated with sore throat and difficulty swallowing disease are mostly viruses and bacteria.
The tonsils are two islands of tissue in the throat. In tonsillitis they are seen usually as swelling of the lateral pharyngeal wall to the left and right of the suppository well. The tonsils are part of a ring of immune tissue that surrounds the pharynx (pharyngeal lymphoid ring, Waldeyer's ring shear). The main objective of the tissue ring is the defense against pathogens.
What causes tonsillitis?
The tonsillitis is a contagious disease that is usually caused by viruses, in about 30 percent of cases but also with bacteria (certain streptococci, staphylococci, pneumococci). The acute tonsillitis can run as a single event, lasting (chronic) or recurrent (recurrent).
The infection is by droplet infection Glossary icon. Large gatherings of people to promote the spread of the disease. For this reason, avoid contact with other sufferers, for example in kindergartens, schools or large offices.
What symptoms causes tonsillitis?
Acute tonsillitis usually begins with a violent fever, severe malaise and rapid rise to above 38.5 degrees Celsius. In children often come to even abdominal pain and vomiting but no diarrhea. The throat is reddened, the tonsils are swollen and covered with sometimes dot-like or elongated Eiterstippchen. An unpleasant taste in the mouth and bad breath can also come to.
Severe throat pain to radiate into the ears, and are associated with difficulty swallowing, swelling of the neck lymph nodes. In some cases, swallowing the only symptom may also be associated with headache. Young children who are not exactly express their complaints can refuse, possibly just the food, without experiencing any other symptoms.
Tonsillitis occur in short intervals again and again, they referred to as chronic. At greater distances (several months) between the phases is spoken of complaint of recurrent tonsillitis. Chronic tonsillitis may proceed under certain circumstances without the typical signs of acute tonsillitis. The discomfort can limit yourself to fatigue, anorexia, unpleasant taste in the mouth and bad breath.
Tonsillitis often particularly affect children and adolescents. A once made tonsillitis will not prevent the recurrence of the disease.
What tests are necessary for tonsillitis?
Tonsillitis diagnosed because of symptoms occur. For the diagnosis, especially the examination of the oral cavity, throat and tonsils is important. The neck is scanned on enlarged and tender lymph nodes.
To initiate the proper treatment, it is important to distinguish between bacterial and viral tonsillitis. In particular, an infestation can be recognized by a particular type of streptococcus as early as possible, since these bacteria serious complications such as heart inner wall inflammation (endocarditis), joints (arthritis) and kidney inflammation (glomerulonephritis) can cause. These are various options available:
Streptococcal Rapid Test
This test is performed most frequently: For this, the doctor passes a small cotton swab across the tonsils and in this way removes a sample of the pathogen (throat swab). The rapid test can be evaluated after a few minutes. With a positive test result there is a streptococcal infection.
Bacterial culture with antibiogram
If the streptococcal rapid test is negative and there is still a suspicion of bacterial infection, is created from a throat swab, a bacterial culture. Elapse before the result, there is two to three days. For the bacterial culture is much more accurate and can detect even apart from the other streptococcal bacteria. Can also be determined simultaneously, the effectiveness of different antibiotics on the bacteria present in this study (antibiogram).
Blood tests
Occur in complications of tonsillitis, is often taken a blood sample. This is used to distinguish between bacteria and viruses as the cause of the infection. When a bacterial infection, the number of white blood cells is increased, accelerating the blood sedimentation rate and a particular protein, the C-reactive protein (CRP) increased significantly. Viruses are the cause of tonsillitis, there are no significant changes found in the blood.
Is a bacterial infection is present, treatment with an antibiotic necessary. Without treatment with antibiotics threatening complications, particularly heart, muscles and joints and the kidneys.
The tonsils are two islands of tissue in the throat. In tonsillitis they are seen usually as swelling of the lateral pharyngeal wall to the left and right of the suppository well. The tonsils are part of a ring of immune tissue that surrounds the pharynx (pharyngeal lymphoid ring, Waldeyer's ring shear). The main objective of the tissue ring is the defense against pathogens.
What causes tonsillitis?
The tonsillitis is a contagious disease that is usually caused by viruses, in about 30 percent of cases but also with bacteria (certain streptococci, staphylococci, pneumococci). The acute tonsillitis can run as a single event, lasting (chronic) or recurrent (recurrent).
The infection is by droplet infection Glossary icon. Large gatherings of people to promote the spread of the disease. For this reason, avoid contact with other sufferers, for example in kindergartens, schools or large offices.
What symptoms causes tonsillitis?
Acute tonsillitis usually begins with a violent fever, severe malaise and rapid rise to above 38.5 degrees Celsius. In children often come to even abdominal pain and vomiting but no diarrhea. The throat is reddened, the tonsils are swollen and covered with sometimes dot-like or elongated Eiterstippchen. An unpleasant taste in the mouth and bad breath can also come to.
Severe throat pain to radiate into the ears, and are associated with difficulty swallowing, swelling of the neck lymph nodes. In some cases, swallowing the only symptom may also be associated with headache. Young children who are not exactly express their complaints can refuse, possibly just the food, without experiencing any other symptoms.
Tonsillitis occur in short intervals again and again, they referred to as chronic. At greater distances (several months) between the phases is spoken of complaint of recurrent tonsillitis. Chronic tonsillitis may proceed under certain circumstances without the typical signs of acute tonsillitis. The discomfort can limit yourself to fatigue, anorexia, unpleasant taste in the mouth and bad breath.
Tonsillitis often particularly affect children and adolescents. A once made tonsillitis will not prevent the recurrence of the disease.
What tests are necessary for tonsillitis?
Tonsillitis diagnosed because of symptoms occur. For the diagnosis, especially the examination of the oral cavity, throat and tonsils is important. The neck is scanned on enlarged and tender lymph nodes.
To initiate the proper treatment, it is important to distinguish between bacterial and viral tonsillitis. In particular, an infestation can be recognized by a particular type of streptococcus as early as possible, since these bacteria serious complications such as heart inner wall inflammation (endocarditis), joints (arthritis) and kidney inflammation (glomerulonephritis) can cause. These are various options available:
Streptococcal Rapid Test
This test is performed most frequently: For this, the doctor passes a small cotton swab across the tonsils and in this way removes a sample of the pathogen (throat swab). The rapid test can be evaluated after a few minutes. With a positive test result there is a streptococcal infection.
Bacterial culture with antibiogram
If the streptococcal rapid test is negative and there is still a suspicion of bacterial infection, is created from a throat swab, a bacterial culture. Elapse before the result, there is two to three days. For the bacterial culture is much more accurate and can detect even apart from the other streptococcal bacteria. Can also be determined simultaneously, the effectiveness of different antibiotics on the bacteria present in this study (antibiogram).
Blood tests
Occur in complications of tonsillitis, is often taken a blood sample. This is used to distinguish between bacteria and viruses as the cause of the infection. When a bacterial infection, the number of white blood cells is increased, accelerating the blood sedimentation rate and a particular protein, the C-reactive protein (CRP) increased significantly. Viruses are the cause of tonsillitis, there are no significant changes found in the blood.
Is a bacterial infection is present, treatment with an antibiotic necessary. Without treatment with antibiotics threatening complications, particularly heart, muscles and joints and the kidneys.
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