Follicular Tonsillitis

INTRODUCTION:
DISEASE:-
Follicular tonsillitis is the infection of two bean sized pieces of lymphatic tissues known as the tonsils. These are located at the back of the throat on either side of the neck. As a part of the immunity system, they filter the incoming viruses and bacteria through mouth and nose. They can be infected by viruses or bacteria leading to viral or bacterial tonsillitis.

SYMPTOMS:-
The patient may suffer from sore throat, fever, body ache, chills, headache, cough and difficulty in breathing with red and swollen tonsils.
CAUSATIVE AGENT:-
1- VIRAL TONSILLITIS
Virus may be Adenovirus, Rhinovirus or Influenza.
2- BACTERIAL FOLLICULAR TONSILLITIS
Most common bacteria is Hemolytic Streptococcus. Staphylococcus aureus, Streptococcus pneumonia and Diphtheria syphilis may also cause this infection.

DRUG THERAPY:-
Viral infection usually goes away by itself after four to ten days but in case of bacterial infection antibiotics are administered. Drug therapy includes;
1- ANTIBIOTICS:
i.e Pencilline group specifically amoxicilline are administered to treat this infection.
2- ANALGESICS :
i.e NSAID group specifically paracetamol These drugs are administered to relieve body ache and fever.
3- ANTIALLERGICS

CASE STUDY:
A 20 years old fellow suffered from the throat infection. He belongs to mediocre family. Living style is normal. Sometimes smokes. During last 3-6 month, he suffered from fever for 2-3 days. Neither infection nor any other disease was diagnosed during last 6 months. When Clinical Examinition was done, he was suffering from fever (38-40 centigrade) , sore throat, cough since one week. He had swollen and reddish lymph nodes. Some type of viral or bacterial throat infection or tonsillitis was indicated. For confirmation physician prescribed two test;
1- Complete blood picture
2- Urine examination
Leucocytes specifically neutrophills number was increased. Thick traces of albumin was found in urine. Microscopic examination of urine highlighted following details;
Pus cell: 10 – 12 H.P.F
Red cells: occasional H.P.F
Crystals:calciumoxalate(2- Acute follicular tonsillitis was diagnosed on the basis of laboratory test result. Physician prescribed following drug therapy;
Augmentin tablets 625 mg t.i.d 2 weeks
Rigix syrup 10 mL o.i.d 2 weeks
Panadol tablets 500 mg t.i.d 5 days
And also asked to cease smoking to prevent the severity of infection and gargling with warm salty water.
After two weeks of therapy patient was successfully cured. After two weeks of antibiotics therapy , laboratory test results were negative. Leucocytes number was in range.

Conclusion:
Treatment was rational. Physician diagnosed the infection after proper laboratory test results. As the leucocytes are part of immune system defend the body against infection by attacking viruses and bacteria. So there number increases which indicated the infection. During this attack body also suffered from fever, body ache, chills and cough.

Reference:
This case study is compiled after conversation with patient and physician and after consulting;
Wikipedia
Test reports
Prescription slip