Acute Tonsillitis Definition, Causes and Pathophysiology

Acute Tonsillitis is an acute inflammation caused by the bacteria streptococcus beta hemolyticus, streptococcus and streptococcus viridons pygenes, can also be caused by a virus.

According to George Adams (1999), supuralis Acute bacterial tonsillitis is most often caused by beta hemolytic streptococcus group A.

     pneumococcus
     Staphilococcus
     Haemalphilus influenza
     Sometimes non hemoliticus streptococcus or streptococcus viridens.

According to Alexander N (1993). Bacteria is the cause in 50% of cases.

     Hemoliticus B Streptococcus group A
     Streptococcus viridens
     Streptococcus pyogenes
     Staphilococcus
     pneumococcus
     virus
     adenovirus
     ECHO
     Influenza and herpes viruses.

Pathophysiology

According to Alexander N (1993), the pathophysiology of tonsillitis are:
Infiltrate the epithelial germ layers, when the epithelium eroded the superficial lymphoid tissue holding the reaction. There is a damming of inflammation with leukocyte infiltration of poly morfonuklear. This process is clinically seen in the corpus containing tonsils yellow spots called detritus. Detritus is a collection of leukocytes, bacteria and the epithelium that escapes, an acute tonsillitis with detritus is called tonsillitis lakunaris, when patches of detritus adjacent to one it happens lakonaris tonsillitis. When spotting widened, thus forming larger pseudo membrane (pseudomembrane), whereas in chronic tonsillitis due to recurrent inflammation of the epithelium of the mucosa and lymphoid tissue eroded. So that the healing process, scar tissue replaced the lymphoid tissue. This network will shrink so that the space between the groups widened (crypts) that will be filled by the detritus, so that this process extends through the capsule and eventually arise with network equipment around the fossa tonsilaris. In children this process is accompanied by submandibular lymph node enlargement.