Recurrent fever due to suppurative tonsillitis

Written by Li Rui
Otolaryngology
Updated on September 05, 2024
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Acute suppurative tonsillitis is primarily caused by acute bacterial infection, which may cause recurrent fever and sore throat. Initially, a routine blood test is required to determine the extent of the inflammatory response. If the inflammation is severe, it is necessary to consider timely antibiotic treatment for infection, with commonly used antibiotics being cephalosporins or penicillins. If the body temperature exceeds 38.5℃, antipyretic medication should also be considered. Generally, the treatment period is about one week, and it is necessary to regularly recheck the routine blood test and perform laryngoscopic examinations to dynamically assess the recovery of the condition.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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What bacteria cause suppurative tonsillitis?

Purulent tonsillitis primarily refers to an acute purulent inflammation of the tonsils, often accompanied by varying degrees of mucosal lymphatic tissue inflammation. The primary bacterium responsible for this condition is Group A beta-hemolytic Streptococcus, although non-hemolytic Streptococcus, Staphylococcus, Streptococcus pneumoniae, Haemophilus influenzae, as well as adenovirus, rhinovirus, and simplex herpes virus can also cause purulent tonsillopharyngitis. Mixed bacterial and viral infections are not uncommon, and in recent years, there has been an increase in yeast and Gram-negative bacilli infections. The pathogens of acute purulent tonsillitis can be transmitted via droplets or direct contact. Normally, some pathogens reside in the crypts of the pharynx and tonsils of healthy individuals. When the body's resistance is lowered, the pathogens proliferate extensively, and their toxins damage the crypt epithelium, allowing bacteria to invade the tissue and cause purulent changes. Factors such as exposure to cold, dampness, excessive fatigue, excessive smoking and drinking, and exposure to harmful gases can provoke this disease. Avoiding spicy and irritating foods, gargling with salt water, and maintaining oral hygiene are measures that can prevent or mitigate the occurrence of this condition.

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Written by Deng Bang Yu
Otolaryngology
44sec home-news-image

Is suppurative tonsillitis uncomfortable?

Suppurative tonsillitis is an acute infection of the tonsils, which is relatively severe and involves purulent changes in the tonsils. Clinically, patients experience severe throat pain, which worsens during swallowing and may even lead to difficulty in eating. Patients may also experience symptoms such as chills and fever. Therefore, suppurative tonsillitis is very distressing, and we need to actively manage it. Generally, we conduct a blood test to check the routine blood parameters and observe the level of white blood cell infection, that is, the white blood cell count. Then, we administer intravenous infusions of antibiotics for treatment.

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Written by Li Rui
Otolaryngology
49sec home-news-image

Recurrent fever due to suppurative tonsillitis

Acute suppurative tonsillitis is primarily caused by acute bacterial infection, which may cause recurrent fever and sore throat. Initially, a routine blood test is required to determine the extent of the inflammatory response. If the inflammation is severe, it is necessary to consider timely antibiotic treatment for infection, with commonly used antibiotics being cephalosporins or penicillins. If the body temperature exceeds 38.5℃, antipyretic medication should also be considered. Generally, the treatment period is about one week, and it is necessary to regularly recheck the routine blood test and perform laryngoscopic examinations to dynamically assess the recovery of the condition.

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Written by Deng Bang Yu
Otolaryngology
41sec home-news-image

Can suppurative tonsillitis heal itself?

Purulent tonsillitis is a relatively severe acute infectious inflammation of the tonsils, clinically characterized by severe throat pain and difficulty swallowing, even leading to difficulty in eating. The pain worsens during swallowing, and patients may experience symptoms like chills and fever. Therefore, purulent tonsillitis generally cannot heal on its own and requires active intervention. Active anti-infection treatment is necessary, as it cannot be expected to resolve spontaneously. Clinical treatment primarily involves the use of antibiotics, such as cephalosporins, and may even include infusion and other anti-infection treatments.

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Written by Deng Bang Yu
Otolaryngology
44sec home-news-image

Does suppurative tonsillitis require hospitalization?

Purulent tonsillitis refers to the acute purulent infection of the tonsils, mainly caused by bacterial infections, including Staphylococcus aureus, hemolytic streptococcus, etc. The clinical symptoms of purulent tonsillitis are quite obvious and relatively severe. However, generally, purulent tonsillitis is not treated in the hospital nowadays, but treated in outpatient settings with oral antibiotics or intravenous infusions for anti-infection treatment. Clinically, unless purulent tonsillitis is complicated by other diseases, such as peritonsillar abscess, pharyngeal abscess, or retropharyngeal abscess, hospitalization may be considered for treatment.