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Tonsillar Inflammation
Bernadette L. Koch, MDH. Ric Harnsberger, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Tonsillitis/tonsillopharyngitis
                  • Tonsillar/peritonsillar phlegmon
                  • Tonsillar/peritonsillar cellulitis
              • Definitions

                • Acute, nonsuppurative tonsillar inflammation

              IMAGING

              • General Features

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                Selected References

                                1. Huoh KC et al: Current status and future trends: pediatric intracapsular tonsillectomy in the United States. Laryngoscope. 131 Suppl 2:S1-9, 2021
                                2. Bandarkar AN et al: Tonsil ultrasound: technical approach and spectrum of pediatric peritonsillar infections. Pediatr Radiol. 46(7):1059-67, 2015
                                3. Blair AB et al: A unifying theory of tonsillitis, intratonsillar abscess and peritonsillar abscess. Am J Otolaryngol. 36(4):517-20, 2015
                                4. Ulualp SO et al: Management of intratonsillar abscess in children. Pediatr Int. 55(4):455-60, 2013
                                5. Janjanin S et al: Acute lingual tonsillitis: an overlooked cause of severe sore throat in adults who have had a palatine tonsillectomy? Med J Aust. 191(1):44, 2009
                                6. Suzumoto M et al: A scoring system for management of acute pharyngo-tonsillitis in adults. Auris Nasus Larynx. 36(3):314-20, 2009
                                7. Islam A et al: Cervical necrotising fasciitis and descending mediastinitis secondary to unilateral tonsillitis: a case report. J Med Case Reports. 2:368, 2008
                                8. Pinto A et al: Infections of the neck leading to descending necrotizing mediastinitis: Role of multi-detector row computed tomography. Eur J Radiol. 65(3):389-94, 2008
                                9. Bayar Muluk N et al: Evaluation of acute trismus by MRI: a case report. Bilateral peritonsillar cellulitis. Eur Arch Otorhinolaryngol. 263(12):1139-41, 2006
                                10. Brook I et al: Management of group A beta-hemolytic streptococcal pharyngotonsillitis in children. J Fam Pract. 55(12):S1-11; quiz S12, 2006
                                11. Simons JP et al: Bilateral peritonsillar abscesses: case report and literature review. Am J Otolaryngol. 27(6):443-5, 2006
                                12. Van Howe RS et al: Diagnosis and management of pharyngitis in a pediatric population based on cost-effectiveness and projected health outcomes. Pediatrics. 117(3):609-19, 2006
                                13. Bell Z et al: Mediastinitis: a life-threatening complication of acute tonsillitis. J Laryngol Otol. 119(9):743-5, 2005
                                14. Tewfik TL et al: Tonsillopharyngitis: clinical highlights. J Otolaryngol. 34 Suppl 1:S45-9, 2005
                                15. Webb CJ et al: Tonsillar size is an important indicator of recurrent acute tonsillitis. Clin Otolaryngol Allied Sci. 29(4):369-71, 2004
                                16. Johnson BC et al: Cost-effective workup for tonsillitis. Testing, treatment, and potential complications. Postgrad Med. 113(3):115-8, 121, 2003
                                17. Kawabe J et al: Two cases of chronic tonsillitis studied by FDG-PET. Ann Nucl Med. 13(4):277-9, 1999
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Synonyms

                                              • Tonsillitis/tonsillopharyngitis
                                                • Tonsillar/peritonsillar phlegmon
                                                • Tonsillar/peritonsillar cellulitis
                                            • Definitions

                                              • Acute, nonsuppurative tonsillar inflammation

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Huoh KC et al: Current status and future trends: pediatric intracapsular tonsillectomy in the United States. Laryngoscope. 131 Suppl 2:S1-9, 2021
                                                              2. Bandarkar AN et al: Tonsil ultrasound: technical approach and spectrum of pediatric peritonsillar infections. Pediatr Radiol. 46(7):1059-67, 2015
                                                              3. Blair AB et al: A unifying theory of tonsillitis, intratonsillar abscess and peritonsillar abscess. Am J Otolaryngol. 36(4):517-20, 2015
                                                              4. Ulualp SO et al: Management of intratonsillar abscess in children. Pediatr Int. 55(4):455-60, 2013
                                                              5. Janjanin S et al: Acute lingual tonsillitis: an overlooked cause of severe sore throat in adults who have had a palatine tonsillectomy? Med J Aust. 191(1):44, 2009
                                                              6. Suzumoto M et al: A scoring system for management of acute pharyngo-tonsillitis in adults. Auris Nasus Larynx. 36(3):314-20, 2009
                                                              7. Islam A et al: Cervical necrotising fasciitis and descending mediastinitis secondary to unilateral tonsillitis: a case report. J Med Case Reports. 2:368, 2008
                                                              8. Pinto A et al: Infections of the neck leading to descending necrotizing mediastinitis: Role of multi-detector row computed tomography. Eur J Radiol. 65(3):389-94, 2008
                                                              9. Bayar Muluk N et al: Evaluation of acute trismus by MRI: a case report. Bilateral peritonsillar cellulitis. Eur Arch Otorhinolaryngol. 263(12):1139-41, 2006
                                                              10. Brook I et al: Management of group A beta-hemolytic streptococcal pharyngotonsillitis in children. J Fam Pract. 55(12):S1-11; quiz S12, 2006
                                                              11. Simons JP et al: Bilateral peritonsillar abscesses: case report and literature review. Am J Otolaryngol. 27(6):443-5, 2006
                                                              12. Van Howe RS et al: Diagnosis and management of pharyngitis in a pediatric population based on cost-effectiveness and projected health outcomes. Pediatrics. 117(3):609-19, 2006
                                                              13. Bell Z et al: Mediastinitis: a life-threatening complication of acute tonsillitis. J Laryngol Otol. 119(9):743-5, 2005
                                                              14. Tewfik TL et al: Tonsillopharyngitis: clinical highlights. J Otolaryngol. 34 Suppl 1:S45-9, 2005
                                                              15. Webb CJ et al: Tonsillar size is an important indicator of recurrent acute tonsillitis. Clin Otolaryngol Allied Sci. 29(4):369-71, 2004
                                                              16. Johnson BC et al: Cost-effective workup for tonsillitis. Testing, treatment, and potential complications. Postgrad Med. 113(3):115-8, 121, 2003
                                                              17. Kawabe J et al: Two cases of chronic tonsillitis studied by FDG-PET. Ann Nucl Med. 13(4):277-9, 1999