Pharyngo-Tonsillitis

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ICD10 CODE: J03

Inflammation of the tonsils

Cause

• Streptococcal infection (most common)
• Viral infection (less common)

Clinical features

• Sudden onset, most common in children
• Sore throat
• Fever, shivering, headache, vomiting
• Tonsils enlarged and with exudate and cervical lymph nodes

Complications

• Local: peritonsillar cellulitis and abscess (quinsy),
• Systemic complications: bacterial endocarditis, glomerulonephritis, rheumatic fever (see Rheumatic fever)

Differential diagnosis

• Pharyngitis
• Submandibular lymphadenitis

Investigations

• Throat swab: For C&S

Management

Treatment	LOC
Bacterial pharyngotonsillitis Phenoxymethylpenicillin 500 mg every 6 hours for 10 days Child: 10-20 mg/kg per dose Or Benzathine penicillin 1.2 MU IM single dose Child: <30 kg: 30,000 IU/kg If allergic to penicillin Erythromycin 500 mg every 6 hours for 10 days Child: 12.5 mg/kg per dose Viral pharyngotonsillitis Treat symptomatically with analgesics and increased oral fluids	HC2