Early symptoms of suppurative tonsillitis

Written by Zhang Jun
Otolaryngology
Updated on January 06, 2025
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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 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 Zhang Jun
Otolaryngology
1min 2sec home-news-image

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
1min 3sec home-news-image

Observation of the condition in suppurative tonsillitis

Suppurative tonsillitis is an emergency in clinical practice and is a more severe form of acute bacterial tonsillitis. Clinically, it mainly presents as severe throat pain and systemic symptoms such as chills and fever, indicating a serious infection state or symptoms. Therefore, the clinical treatment of suppurative tonsillitis mainly involves anti-infection treatment through infusion. Clinical observation should focus on the condition of the throat area, such as swelling in the throat and the presence of purulent secretions from the tonsils. Secondly, the overall condition of the patient should be observed, including fever, whether the fever subsides or the duration of the fever. Thirdly, the patient's complete blood count can be observed, specifically the white blood cells and neutrophils, which indicate infection, to see if their levels are returning to normal. Other observations can include the renal and urinary system, checking for the presence of red blood cells and proteins.

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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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What fruits to eat for suppurative tonsillitis

Purulent tonsillitis is a relatively common otolaryngological disease, mainly caused by acute bacterial infection. Common fruits such as bananas, grapes, kiwis, and dragon fruits can be eaten because these fruits contain rich vitamins and have no irritant effects, thus they will not aggravate the condition of tonsillitis or affect the specific treatment outcome. After medication and dietary adjustment, the condition generally gradually eases. The treatment period is about a week. During the treatment, it is necessary to revisit regularly to observe the recovery situation.