A Severe Type of Tonsil Infection: Cryptic Tonsillitis
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| Throat image of the patient with severe sore throat, weakness, fever higher than 39 degrees. It is seen that there are inflammatory tissues on the surfaces of both tonsils and bleeding areas on the right tonsil. |
The tonsils, two tissues just behind your throat, have filters that trap germs that can enter the airways and cause infection. They produce antibodies that fight this infection, but sometimes they can get infected on their own. They are intensely attacked by various bacteria or microbes, forming a swelling that we call tonsillitis and become inflamed. In some patients, this infection can cause clumps of inflammation on the surface of the tonsils that can cause severe pain and cause tissue changes. Normally, if grooves on the surface (crypts) of the tonsils are covered with inflammatory tissue, "cryptic tonsillitis", a type of tonsillitis less severe than tonsil abscess but more severe than normal infection, occurs.
There are slit-shaped cavities called "crypta" on the tonsils. In some tonsillitis, these cavities and the tonsil surface may be covered with inflammatory tissue. This condition, which is accompanied by symptoms such as fever, malaise, and body malaise, is called "cryptic tonsillitis", more than normal tonsillitis symptoms. It can also be interpreted as an infection condition between tonsil abscess and tonsillitis. Although these infections are generally caused by bacteria; Different viruses that cause membranous tonsillitis (Adenovirus, CMV, EBV ...) can also cause a similar inflammation in appearance.
Causes of Tonsillitis
Some bacterial and viral infections can cause almond inflammation. One of the bacteria frequently encountered in the tonsils is Streptococcus. Other common types of bacteria are:
- Adenoviruses
- Flu virus
- Epstein Barr Virus
- Parainfluenza viruses
- Enteroviruses
- Herpes virus
Symptoms of Cryptic Tonsillitis
The symptoms of cryptic tonsillitis can be summarized as follows:
- Sore throat or tenderness
- Redness in the tonsils
- A white or yellow appearance on the tonsils
- Painful blisters in the throat
- Headache
- Loss of appetite
- Earache
- Difficulty swallowing or breathing
- Swollen glands in the neck or chin area
- Fever, chills
- Bad breath
In some patients, there may be bleeding and tissue loss on the surfaces of the tonsils, which are inflamed during severe coughing. When you look at the oral photo of the patient above, areas of inflammation and bleeding are seen on the surface of the tonsil.
Symptoms in children can also include:
- Nausea
- Vomiting
- Abdominal pain
Diagnosis of Cryptic Tonsillitis
The diagnosis of cryptic tonsillitis is made as a result of observing that the tonsils are covered with white-yellow inflammatory tissue during the oral examination, in addition to the symptoms mentioned above. Throat swab culture is required for causative microorganism.
Cryptic Tonsillitis Treatment and General Recommendations
In the treatment of cryptic tonsillitis, increasing the amount of oral fluid, extending the resting period, fever follow-up and medical treatment are suitable. Cryptic tonsillitis prescriptions usually include pain medications, antiseptic throat rinses or sprays, and antibiotics. In the treatment of cryptic tonsillitis in children, intravenous or intramuscular antibiotic therapy can sometimes be added to the treatment.
In patients with cryptic tonsillitis, local antiseptic sprays and mouthwashes, anti-inflammatory sprays can be used in addition to pain relief and anti-inflammatory tablets. Culture antibiogram can be done from the throat and antibiotherapy can be planned with the rise of fever during fever follow-up.
Your doctor will apply the appropriate treatment according to the cause of your throat inflammation. For this, he will take culture with a throat swab in the first stage. This test is done by taking a culture sample with a cotton-covered swab near the tonsils. In this way or with a direct laboratory test, it will help to detect the bacterial infection that will cause this inflammation. If this test is sufficient for your doctor, he may give antibiotic treatment directly. If not, he or she may order a strep test. Although the antibiotic given will help relieve the throat and disappear within a few days, you should continue to use your medications as recommended by your doctor to remove all of the bacteria. In addition, a few things you can do are as follows;
- Get enough rest
- Drink hot or very cold liquids to relieve sore throat
- You can consume ice cream or soft foods
- Gargle with warm salt water
- You can eat lemon and gargle with it.
- You can suck pastilles.
- You can take pain relief.
- You can gargle with boiled and cooled vinegar. This can help both your oral health and repel bacteria that have accumulated in your throat.
- Lemon balm essential oil, chamomile tea steam, menthol and eucalyptus steam can be used.
Cryptic Tonsillitis and Membranous Tonsillitis
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
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