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 Deng Bang Yu
Otolaryngology
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Is surgery necessary for suppurative tonsillitis?

Purulent tonsillitis refers to the acute purulent inflammation of the tonsils, mainly caused by bacterial infection, including infections by Streptococcus pyogenes, Staphylococcus aureus, etc. Purulent tonsillitis is an acute inflammation, so during this acute inflammation phase, the primary treatment is the use of antibiotics for anti-infection. After the anti-infection treatment, the symptoms of the patient disappear, and then it can be assessed whether surgical treatment is needed. Generally speaking, sporadic occurrences of purulent tonsillitis do not require surgical treatment. For frequently recurring purulent tonsillitis and enlarged tonsils, surgical treatment should be considered after the acute inflammation has subsided.

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Written by Li Rui
Otolaryngology
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How is suppurative tonsillitis treated?

Acute suppurative tonsillitis is primarily considered to be caused by acute bacterial infections. In such cases, it is primarily necessary to conduct a complete blood count test. The main purpose of this test is to examine the increased levels of white blood cells and inflammatory response proteins. If the inflammatory response is not particularly prominent, oral antibiotics are generally sufficient, and this can be supplemented with nebulization and the oral administration of traditional Chinese medicines for auxiliary treatment. If the complete blood count indicates a particularly severe inflammatory response and the symptoms are also prominent, intravenous therapy may need to be considered. In cases where conservative treatment is ineffective and particularly severe, further hospital treatment and systematic examination may be required for an accurate assessment of the condition.

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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.

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Written by Deng Bang Yu
Otolaryngology
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Is suppurative tonsillitis serious?

Purulent tonsillitis is an acute purulent infection of the tonsils, generally considered relatively severe. Clinically, it manifests as severe throat pain, systemic fever, and chills and discomfort, making the symptoms relatively severe. In clinical treatment, it is important to conduct aggressive anti-infection treatment, mainly through intravenous infusion, such as the use of cephalosporin antibiotics, and the concurrent use of some corticosteroids to enhance the anti-infection effect. It is important to drink plenty of water, replenish bodily fluids, and use some heat-clearing and detoxifying traditional Chinese medicines, such as Banlangen oral liquid, which can be used simultaneously for adjunctive treatment. (Specific medications should be used under the guidance of a physician.)

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Written by Deng Bang Yu
Otolaryngology
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What fluid should be administered for suppurative tonsillitis?

Purulent tonsillitis is a serious infectious disease clinically, mainly manifesting as severe pain in the pharyngeal area, general malaise in patients, and even symptoms such as chills and fever. Therefore, active treatment is required. Clinical treatment is mainly anti-infection treatment. Infusion primarily uses cephalosporin antibiotics such as ceftriaxone and cefazolin for treatment. To enhance the anti-infection effect and reduce the edema of the patient's throat mucosa, corticosteroid drugs such as dexamethasone or prednisolone are often used simultaneously in the infusion treatment.