Acute Tonsillitis:
This is a common condition which is usually caused by gram positive bacteria (may be the organism is Streptococcal Pyrogenesis , there is a risk of developing Rheumatic Fever ). Often multiple different bacteria exists in the tonsillar crypts, which can be difficult to culture. Treatment with antibiotics to prevent Rheumatic Fever or tonsillar abscess formation is usually advisable.
The picture in below shows the appearance of acute tonsillitis due to Infectious Mononucleosis. The patient was a 24 year old male with bilateral 4 cm non-tender jugulo-diagastric (upper neck) lymph nodes. The infection was resistant to antibiotics (as all viral infections are).
