The study carried out on 2305 adults (from 16 to 70 years old) in three areas: in town, countryside and the U Minh indigo forest of Ca Mau province. The result showed that: the common chronic tonsilitis prevalence in the community was 8.4%, the town area 7.2%, the countryside 7.7% and the U Minh indigo forest 11.3%. Ratio of catching disease was highest in people working in forest (12%), and lowest in staffs (5.6%). People who smoking over one pack per day had highest morbidity (13.7%) and nonsmokers had lowest rate of catching disease (7.5%). People with chronic tonsilitis seek for periodical health check up reached 4.4%, lower than people do not (8.6%). People with chronic tonsilitis in poor families acquired 11.4%, higher than that in moderate income families (8% ). So, the dangerous factors leading to the risk for the chronic tonsilitis included: the career nature, smoking habit, periodical health check-ups, the family income and non-risking factors included the sex and living with smokers
Tonsillitis ; Adult ; Epidemiology

Humans ; Palatine Tonsil ; Tonsillitis

No abstract available.
Palatine Tonsil* ; Tonsillitis*

Spontaneous tonsillar hemorrhage from infectious causes is extremely rare and post-tonsillectomy hemorrhage, although also relatively rare, is an unavoidable complication of the procedure. Hemorrhage in association with tonsillitis or tonsillectomy is potentially dangerous and can be life threatening. We report here the presentation and management of a 42-yr-old man with severe spontaneous hemorrhage from infected tonsils and post-tonsillectomy hemorrhage. We suggest that if attempts to control the bleeding are not successful or if severe spontaneous tonsillar hemorrhage occurs repeatedly or a malignancy is suspected, tonsillectomy and close postoperative follow up is recommended.
Hemorrhage ; Palatine Tonsil ; Tonsillectomy ; Tonsillitis

OBJECTIVES: To report a case of acute tonsillitis that subsequently developed descending necrotizing mediastinitis, and to discuss the signs and symptoms, differential diagnosis, pathophysiology, diagnostic criteria, ancillary procedures and management.

METHODS:
Design: Case Report

Setting: Tertiary Private and Government Hospital

Patient: One

RESULTS:  A 36-year-old woman was admitted with a 2-day history of sore throat and a diagnosis of acute exudative tonsillitis. She complained of sore throat accompanied by dyspnea, neck and chest pain which rapidly progressed to mediastinitis. She was transferred to a tertiary government hospital where video assisted thoracoscopic surgery with bilateral deloculation,  mediastinoscopy and bronchoscopy revealed purulent discharge from the right main stem bronchus with multiloculated effusion in the left lung and posterolateral loculated effusion in the right lung. Her condition improved and she was discharged after a month of antibiotic therapy.

CONCLUSION: Acute tonsillitis seldom leads to a life-threatening complication such as mediastinitis. Descending necrotizing mediastinitis develops when acute tonsillar infection progresses and descends to the mediastinum. It is a surgical emergency which requires mediastinal drainage, thoracotomy and long-term antimicrobials. Clinicians who manage oropharyngeal infections should be aware of this rare but lethal complication which may occur even in non-immunocompromised individuals.

Child ; Consensus ; Humans ; Hypopharynx ; Tonsillectomy ; Tonsillitis

BACKGROUND AND OBJECTIVES: The relationship between actinomycosis and chronic tonsillar diseases, such as chronic recurrent tonsillitis or tonsillar hypertrophy, has been reported several times; but there seems to remain some controversy. The aim of this study was to find out the incidence of actinomycosis in the tonsil and its clinical significance. SUBJECTS AND METHOD: A histologic evaluation with tonsil specimen for actinomycosis was done for 300 patients who had undergone tonsillectomy from July 2005 to February 2006. Other clinical features such as age, sex, chief complaints, tonsil size, frequency of recurrent tonsillitis, and laboratory findings were also analyzed. RESULTS: The incidence of actinomycosis in tonsil was significantly high in adult group. There was no significantly statistical difference in the rate of actinomycosis according to sex, chief complaints, tonsil size, frequency of recurrent tonsillitis, number of leukocytes, and hemoglobin. CONCLUSION: Actinomycosis seems to have no causal role in recurrent tonsillitis or tonsillar hypertrophy. However, the possibility of actinomycosis should be considered in unusual tonsillar hypertrophy patients.
Actinomycosis* ; Adult ; Humans ; Hypertrophy ; Incidence* ; Leukocytes ; Palatine Tonsil* ; Tonsillectomy ; Tonsillitis

Acute Disease ; therapy ; Adolescent ; Adult ; Bloodletting ; Child ; Female ; Humans ; Male ; Middle Aged ; Tonsillitis ; therapy ; Young Adult

PURPOSE: This study was designed to compare the CT findings and clinical manifestations in children and adolescents with acute sialadenitis according to the involved salivary glands. MATERIALS AND METHODS: The study included fifty children and adolescents (34 boys, 16 girls) with acute sialadenitis that was diagnosed during the past five years. All of the subjects were divided into three groups: group I (parotid gland involvement, n = 16), group II (submandibular gland involvement, n = 20) and group III (involvement of both glands, n = 14). We analyzed the presence of an abscess, sialolith, bilaterality, cellulitis and lymphadenopathy on CT scans. The analyzed clinical data were age, sex, lymphadenopathy, pain, swelling, presence of a mass, tonsillitis, treatment period and surgical treatment if it was performed. RESULTS: The presence of an abscess, sialolith, cellulitis, swelling, age, presence of a palpable mass and treatment period were statistically significant factors for the patients in the three groups. An abscess was combined only in group I patients. There was a high rate of sialolith in group II patients and cellulitis in group III patients as seen on CT scans. Swelling in group II patients and group III patients and the presence of a palpable mass in group I patients were identified as clinical manifestations. Age was younger in group I patients (mean age, 5.3 years) than in group II patients (mean age, 12.9 years) and group III patients (mean age, 15.2 years). The treatment period was longer for group I patients. CONCLUSION: For acute sialadenitis in children and adolescents, age, presence of an abscess, sialolith, cellulitis, swelling, presence of a palpable mass and treatment period were different according to the involved salivary glands.
Abscess ; Adolescent ; Cellulitis ; Child ; Humans ; Lymphatic Diseases ; Palatine Tonsil ; Salivary Gland Calculi ; Salivary Glands ; Sialadenitis ; Tonsillitis

An outbreak of anthrax occurred in a village of Kyungsangbookdo province in February, 1994. The source of infection was raw meat and liver from an infected cow. Among those who ate the meat or liver, 28 developed gastrointestinal anthrax, and 3 patients died. We report a patient with anthrax tonsillitis. She ate raw bovine liver. The diagnosis was confirmed by the isolation of Bacillus anthracis from a tonsillarswab. Epidemiologically anthrax in Korea occurs as an outbreak of gastrointestinal anthrax by the ingestion of beef. Gastrointestinal anthrax should be considered in the differential diagnosis of a food-borne outbreak caused by ingestion of raw bovine meat.
Anthrax* ; Bacillus anthracis ; Diagnosis ; Diagnosis, Differential ; Eating* ; Foodborne Diseases ; Humans ; Korea ; Liver* ; Meat ; Palatine Tonsil ; Tonsillitis