Signs of Tonsillitis (Tonsil infection)

Description

An infection of the tonsils and the infection can be caused by a bacteria such as streptococcus, or a virus such as infectious mononucleosis. Tonsils are located at the back of the throat. It can be very difficult to differentiate between a bacterial and viral cause without performing a rapid strep test or throat culture. Rarely, some cases of tonsillitis can turn into an abscess (peritonsilar abscess) requiring drainage of the infected fluid.

Symptoms

Difficulty swallowing, ear pain, fever, chills, headache, sore throat, tenderness of the jaw and throat, voice changes, loss of voice, bad breath.

Tests

A history and physical exam will be performed. A rapid stress test and/or throat culture can help differentiate between a viral and bacterial cause. A monospot for monnucleosis may also be done.

Treatment

Therapy depends on the cause of the tonsillitis but may include: antibiotics, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol), and steroids. Some tonsillitis cases are not bacterial and antibiotics will not be helpful. Surgery to remove the tonsils may be recommended for repeated infections.