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Tonsillitis - causes and risks
Acute tonsillitis is either a new bacterial infection or a superinfection that "sits on top" of an inflammation triggered by viruses. In most cases, the triggers are streptococci, more precisely beta-hemolytic group A streptococci infections by staphylococci, pneumococci or Haemophilius influenza bacteria. Most of the time, the patient's immune system was already weakened, e.g. by a rhinitis, a viral sore throat, by stress or a poor general condition. In children, less often in adults They are characterized by reddened tonsils, sore throat and fever, but are not purulent. Pfeiffer's glandular fever is also a form of tonsillitis caused by viruses.
Chronic tonsillitis either results from recurring (recurrent) infections or is caused by smoldering inflammation in the tonsils. Cell waste and dead bacteria collect in the deep furrows of the almonds, the so-called crypts. If the crypts can no longer empty themselves sufficiently, the germs multiply in the depth and an infection develops. Usually it is a mixed infection of aerobic (i.e. living with oxygen) and anaerobic (living without oxygen) pathogens, in connection with beta-hemolytic streptococci of group A.
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