*The bacteria infections are caused by streptococci,staphylococci ,pneumococci ,and Heamophilus influenza. The β - Hemolytical Streptococci is important because it may be responsible for rheumatic and renal complications. ** these virus groups are probably responsible for about 50%of acute adenotonsilitis.
* If the attack is severe, the patient can be quite ill. The young child even can be delirious
* Treatment consists of peroxide mouth washes and gargles and penicillin by injection. Metronidazole is given intravenously. Dental treatment is essential to avoid recurrence, and tonsillectomy may be needed for similar reasons.
* In which permanent damage has been done to the tonsil, or it can occur when resolution has been incomplete.