Tonsillitis is a common disease of childhood and adolescence. The diagnosis of tonsillitis generally requires the consideration of Group A beta-hemolytic Streptococcus (GABHS) infection. However, numerous other bacteria alone or in combinations, viruses and other infections and non-infectious causes should be considered. Recognition of the cause and choice of appropriate therapy are of utmost importance in assuring rapid recovery and preventing complications.

Penicillin is currently the first-choice treatment for GABHS pharyngotonsillitis. However, the growing failure of penicillin to eradicate GABHS is of concern. This website discusses the potential causes of penicillin failure ( i.e. the presence of beta-lactamse producing bacteria that can “protect” GABHS from penicillins) and methods to overcome them. It also discusses the role of anaerobic bacteria in tonsillitis and its complications.

Friday, August 17, 2012

Does Helicobacter pylori play a role in chronic tonsillitis?

Several studies confirmed the presence of Helicobacter pylori in chronically inflamed tonsils.. However, other reports did not find this organism. The difference in results in various studies might be due to different laboratory methods. A recent study by Farivar et al. used a polymerase chain reaction (PCR) in evaluating the role of this organism in chronic tonsillitis.
The authors detected H. pylori DNA in 21.35% of 103 specimens. There was no significant relationship between the presence of H. pylori, sex, age, and place of residence.
The finding of this organism in about 1 of 5 chronically inflamed tonsils require more studies that may shed light about the association of this organism with this condition. These include the use of antimicrobial effective against H. pylori, in treating this condition.

                                                             Helicobacter pylori