The bacteria and viruses that commonly cause acute tonsillitis include streptococci, staphylococci, pneumococci, and Haemophilus influenza. Treatment involves peroxide mouthwashes, penicillin injections, and intravenous metronidazole. For severe or recurring cases, tonsillectomy may be necessary to prevent permanent tonsil damage or interference with normal activities like school or work.

1. 急慢性扁桃体炎讲解幻灯：
Slide2 ： *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.
Slide4：* If the attack is severe, the patient can be quite ill. The young child even can be delirious
Slide6 ： * 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.
Slide16 ： * In which permanent damage has been done to the tonsil, or it can occur when
resolution has been incomplete.
Slide20 ： * Which are frequent enough and severe enough to interfere with either the patient’s
general health or normal activities, such as loss of time from school or work.