Tonsillitis classification: Difference between revisions
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===Acute Tonsillitis=== | ===Acute Tonsillitis=== | ||
*Primarily caused by [[bacterial]] or [[viral]] infection.<ref name="pmid25587367">{{cite journal |vauthors=Stelter K |title=Tonsillitis and sore throat in children |journal=GMS Curr Top Otorhinolaryngol Head Neck Surg |volume=13 |issue= |pages=Doc07 |year=2014 |pmid=25587367 |pmc=4273168 |doi=10.3205/cto000110 |url=}}</ref> | *Primarily caused by [[bacterial]] or [[viral]] infection.<ref name="pmid25587367">{{cite journal |vauthors=Stelter K |title=Tonsillitis and sore throat in children |journal=GMS Curr Top Otorhinolaryngol Head Neck Surg |volume=13 |issue= |pages=Doc07 |year=2014 |pmid=25587367 |pmc=4273168 |doi=10.3205/cto000110 |url=}}</ref> | ||
*Presents with [[tonsillar]] [[erythema]], [[edema]], [[odynophagia]], [[dysphonia]], [[fever]], and [[headache]].<ref name="urlTonsillitis - NHS Choices">{{cite web |url=http://www.nhs.uk/conditions/tonsillitis/Pages/Introduction.aspx |title=Tonsillitis - NHS Choices |format= |work= |accessdate=}}</ref> | *Presents with [[tonsillar]] [[erythema]], [[edema]], [[odynophagia]], [[dysphonia]], [[fever]], [[rhinorrea]], [[cough]] and [[headache]].<ref name="urlTonsillitis - NHS Choices">{{cite web |url=http://www.nhs.uk/conditions/tonsillitis/Pages/Introduction.aspx |title=Tonsillitis - NHS Choices |format= |work= |accessdate=}}</ref><ref name="pmid19561812">{{cite journal |vauthors=Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T |title=Tonsillectomy in children |journal=Dtsch Arztebl Int |volume=105 |issue=49 |pages=852–60; quiz 860–1 |year=2008 |pmid=19561812 |pmc=2689639 |doi=10.3238/arztebl.2008.0852 |url=}}</ref> | ||
*[[Tonsillectomy]] is not usually indicated to treat acute tonsillitis; [[viral]] tonsillitis is self-limited and [[bacterial]] tonsillitis will resolve with [[antimicrobial]] therapy.<ref name="pmid19561812">{{cite journal |vauthors=Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T |title=Tonsillectomy in children |journal=Dtsch Arztebl Int |volume=105 |issue=49 |pages=852–60; quiz 860–1 |year=2008 |pmid=19561812 |pmc=2689639 |doi=10.3238/arztebl.2008.0852 |url=}}</ref> | *[[Tonsillectomy]] is not usually indicated to treat acute tonsillitis; [[viral]] tonsillitis is self-limited and [[bacterial]] tonsillitis will resolve with [[antimicrobial]] therapy.<ref name="pmid19561812">{{cite journal |vauthors=Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T |title=Tonsillectomy in children |journal=Dtsch Arztebl Int |volume=105 |issue=49 |pages=852–60; quiz 860–1 |year=2008 |pmid=19561812 |pmc=2689639 |doi=10.3238/arztebl.2008.0852 |url=}}</ref> | ||
=== | ===Recurrent Tonsillitis=== | ||
*Tonsillitis considered "chronic" or recurrent is primarily caused by [[bacterial]] infection - usually [[group A streptococcus]].<ref name="pmid19561812">{{cite journal |vauthors=Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T |title=Tonsillectomy in children |journal=Dtsch Arztebl Int |volume=105 |issue=49 |pages=852–60; quiz 860–1 |year=2008 |pmid=19561812 |pmc=2689639 |doi=10.3238/arztebl.2008.0852 |url=}}</ref> | |||
*Presents primarily with [[tonsillar]] [[erythema]] and [[edema]], along with [[odynophagia]], [[dysphonia]], and [[dysphagia]]. | |||
**Systemic symptoms, including [[fever]], are usually absent due to their association with [[viral]] acute manifestations of tonsillitis. | |||
*[[Tonsillectomy]] is indicated for patients with recurrent tonsillitis if the following criteria are met:<ref name="pmid6700642">{{cite journal |vauthors=Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA |title=Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials |journal=N. Engl. J. Med. |volume=310 |issue=11 |pages=674–83 |year=1984 |pmid=6700642 |doi=10.1056/NEJM198403153101102 |url=}}</ref> | |||
**7 episodes of tonsillitis in a single year {{OR}} | |||
**5 episodes in each of 2 consecutive years {{OR}} | |||
**3 episodes in each of 3 consecutive years | |||
==References== | ==References== | ||
Revision as of 20:04, 17 October 2016
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Tonsillitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Tonsillitis classification On the Web |
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American Roentgen Ray Society Images of Tonsillitis classification |
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Risk calculators and risk factors for Tonsillitis classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
There are 3 main types of tonsillitis: acute, subacute and chronic.
Classification
Tonsillitis can be classified into acute, chronic, and recurrent forms.[1]
Acute Tonsillitis
- Primarily caused by bacterial or viral infection.[1]
- Presents with tonsillar erythema, edema, odynophagia, dysphonia, fever, rhinorrea, cough and headache.[2][3]
- Tonsillectomy is not usually indicated to treat acute tonsillitis; viral tonsillitis is self-limited and bacterial tonsillitis will resolve with antimicrobial therapy.[3]
Recurrent Tonsillitis
- Tonsillitis considered "chronic" or recurrent is primarily caused by bacterial infection - usually group A streptococcus.[3]
- Presents primarily with tonsillar erythema and edema, along with odynophagia, dysphonia, and dysphagia.
- Tonsillectomy is indicated for patients with recurrent tonsillitis if the following criteria are met:[4]
- 7 episodes of tonsillitis in a single year Template:OR
- 5 episodes in each of 2 consecutive years Template:OR
- 3 episodes in each of 3 consecutive years
References
- ↑ 1.0 1.1 Stelter K (2014). "Tonsillitis and sore throat in children". GMS Curr Top Otorhinolaryngol Head Neck Surg. 13: Doc07. doi:10.3205/cto000110. PMC 4273168. PMID 25587367.
- ↑ "Tonsillitis - NHS Choices".
- ↑ 3.0 3.1 3.2 Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T (2008). "Tonsillectomy in children". Dtsch Arztebl Int. 105 (49): 852–60, quiz 860–1. doi:10.3238/arztebl.2008.0852. PMC 2689639. PMID 19561812.
- ↑ Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA (1984). "Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials". N. Engl. J. Med. 310 (11): 674–83. doi:10.1056/NEJM198403153101102. PMID 6700642.