Tonsillitis - Acute

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• Patients present with fever, chills, odynophagia and dysphagia
• On examination the tonsils are inflamed and often have exudates. Unilateral exudate and tonsillar asymmetry indicate a peritonsillar abscess

Management

Analgesia and antibiotics

First line

Medicine	Adult dose	Frequency	Duration
amoxicillin po	500mg	3 times a day	7 days

Second line

Medicine	Adult dose	Frequency	Duration
amoxicillin/clavulanic acid po	80mg/kg;7mg/kg	2 times a day	7 days

Third line

Cephalosporin under specialist care

Recurrent Tonsillitis - Refer

Chronic tonsillitis - Refer

Peritonsillar abscess- Initiate antibiotics as above and refer