Tonsillitis natural history, complications and prognosis: Difference between revisions

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==Prognosis==
==Prognosis==
Tonsillitis symptoms due to strep usually get better about 2 or 3 days after you start the antibiotics. Children with strep throat should generally be kept home from school or day care until they have been on antibiotics for 24 hours. This helps reduce the spread of illness.
*The prognosis for acute tonsillitis without treatment is usually good; the disease is usually self-limited and will resolve itself within 3-4 days.<ref name="urlTonsillitis - NHS Choices">{{cite web |url=http://www.nhs.uk/conditions/Tonsillitis/Pages/Introduction.aspx |title=Tonsillitis - NHS Choices |format= |work= |accessdate=}}</ref>
*The prognosis for recurrent tonsillitis varies based on the presence of life-threatening complications.<ref name="urlRheumatic fever: MedlinePlus Medical Encyclopedia">{{cite web |url=https://medlineplus.gov/ency/article/003940.htm |title=Rheumatic fever: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
*With treatment, the prognosis of acute and recurrent tonsillitis is usually good.


==References==
==References==

Revision as of 19:22, 24 October 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Natural History

  • Acute tonsillitis will usually present with erythema and edema of the tonsils rapidly upon infiltration of the pathogen.[1]
    • Symptoms, including fever and sore throat, will usually manifest within 24 hours of infection.
  • Acute tonsillitis is usually self-limited and will be resolved within 3-4 days.
  • Recurrent tonsillitis will usually not resolve itself and will require antimicrobrial therapy or tonsillectomy where indicated.[2]
    • Left untreated, recurrent tonsillitis may persist and recur over periods of time and can lead to infectious complications.

Complications

Complications of tonsillitis are caused by persistence and/or spread of the responsible pathogen - usually [[bacterial - and include the following:[1]

Prognosis

  • The prognosis for acute tonsillitis without treatment is usually good; the disease is usually self-limited and will resolve itself within 3-4 days.[1]
  • The prognosis for recurrent tonsillitis varies based on the presence of life-threatening complications.[4]
  • With treatment, the prognosis of acute and recurrent tonsillitis is usually good.

References

  1. 1.0 1.1 1.2 "Tonsillitis - NHS Choices".
  2. Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T (2008). "Tonsillectomy in children". Dtsch Arztebl Int. 105 (49): 852–60, quiz 860–1. doi:10.3238/arztebl.2008.0852. PMC 2689639. PMID 19561812.
  3. Rio AC, Franchi-Teixeira AR, Nicola EM (2008). "Relationship between the presence of tonsilloliths and halitosis in patients with chronic caseous tonsillitis". Br Dent J. 204 (2): E4. doi:10.1038/bdj.2007.1106. PMID 18037821.
  4. "Rheumatic fever: MedlinePlus Medical Encyclopedia".

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