What should I do if I have a fever with suppurative tonsillitis?

Written by Li Rui
Otolaryngology
Updated on September 01, 2024
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Acute purulent tonsillitis often comes with a fever, which is generally caused by an acute bacterial infection. The first step is to check the body temperature. If the temperature exceeds 38.5 degrees Celsius, consider using antipyretic medication. It is also advised to perform a routine blood test to assess the extent of the inflammatory response. Typically, antibiotic treatment is considered to combat the infection, and this may be accompanied by nebulization and the oral intake of traditional Chinese medicine. Most patients can effectively recover with timely treatment. If the treatment does not yield good results, further hospitalization and intravenous therapy might be necessary, along with investigating the possibility of infectious mononucleosis. (Medication should be used under the guidance of a doctor.)

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Written by Du Jun
Otolaryngology
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What does suppurative tonsillitis look like?

Purulent tonsillitis refers to the acute purulent inflammation of the tonsils, which include the palatine tonsils, pharyngeal tonsils, and tubal tonsils. This text specifically refers to the palatine tonsils. The main cause is bacterial infection, with bacteria such as Staphylococcus and Streptococcus pneumoniae. On examination, purulent tonsillitis can be identified by enlarged tonsils with pus points on the surface. Patients may experience throat pain, fever, and sometimes accompanying symptoms such as cough and a foreign body sensation in the throat. The treatment of acute suppurative tonsillitis primarily involves penicillin and second-generation cephalosporins, and timely and effective treatment can lead to significant relief of symptoms.

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Written by Zhang Jun
Otolaryngology
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Early symptoms of suppurative tonsillitis

The early symptoms of suppurative tonsillitis include fever, muscle weakness, muscle pain, as well as swelling and pain in the throat, and a runny nose. Suppurative tonsillitis is primarily caused by bacterial infections of the upper respiratory tract due to lowered immunity and resistance, often resulting from infections by hemolytic streptococci. Patients may exhibit fever, swelling, and pain in the throat area. A thorough examination at a hospital with an electronic laryngoscope and a complete blood count can confirm the diagnosis. The examination may reveal bilateral tonsillar enlargement and congestion, with the presence of pale white or yellowish pus-like secretions on the surface. For treatment, symptomatic anti-inflammatory therapy is required, which may include the use of penicillin or cephalosporin antibiotics, usually with good results. In addition, rest and attention to diet are important for gradual improvement during the treatment period.

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Written by Deng Bang Yu
Otolaryngology
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Indications for stopping medication for suppurative tonsillitis

Purulent tonsillitis is an acute bacterial infection in the throat characterized by purulent lesions. Clinical examination reveals congested and enlarged tonsils with greyish-white or white pseudomembranous inflammatory secretions covering the surface of the tonsils or the area of the throat. Active anti-infection treatment is necessary for purulent tonsillitis. The criteria for discontinuing medication include the disappearance of clinical symptoms, such as the absence of sore throat; reduction of tonsil congestion, and reduction or disappearance of the pseudomembrane on the tonsil surface. Additionally, other factors should be considered, such as the results of a complete blood count, with white blood cell levels returning to normal reference ranges. Further considerations include complications such as concurrent arthritis or glomerulonephritis. If clinical examinations or signs suggest these are resolved, cessation of medication for purulent tonsillitis may be considered, typically continuing the process for about one to two weeks. (Please use medication under the guidance of a doctor)

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Written by Xu Qing Tian
Otolaryngology
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What foods to eat for suppurative tonsillitis

Patients with suppurative tonsillitis, a common case in otolaryngology departments. Suppurative tonsillitis is caused by a bacterial infection due to exposure to cold, leading to tonsil swelling, inflammation, and localized suppuration. In such cases, the first step should be to conduct routine blood tests, C-reactive protein tests, and throat swab cultures to diagnose the patient's illness. Treatment usually involves the use of penicillin or cephalosporin antibiotics to improve inflammation. Dietarily, patients should focus on light food and avoid cold foods, spicy and irritating foods, cold drinks, and hot pots to prevent the exacerbation of suppurative tonsillitis. Regular physical exercise should also be emphasized as it can help boost one's immunity and reduce the occurrence of tonsillitis.

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Written by Cheng Fu Wei
Otolaryngology
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Do you need to be hospitalized for suppurative tonsillitis?

Purulent tonsillitis is a relatively severe type of tonsillitis, mainly caused by bacterial infection leading to inflammation and pus formation in the tonsils. If symptoms are severe, such as intense pain that interferes with eating and swallowing, or even high fever reaching above 38.5 degrees Celsius, hospitalization for intravenous therapy is recommended. If the condition is mild, with no fever and less severe pain and swallowing discomfort not affecting eating, oral medication or outpatient intravenous therapy can be administered.