Swollen tonsils after angina
Frequent tonsillitis often leaves its mark: the tonsils appear scarred and fissured. Consequently, bacteria can easily penetrate, multiply and spread. In addition, abscesses can develop after tonsillitis.
Furthermore, complications can arise after a bacterial tonsillitis. Middle ear and sinusitis, rheumatic fever or inflammation of the renal corpuscles, the so-called glomerulonephritis can occur. Endocarditis and, in the worst case, sepsis can also develop. If complaints are recognized and treated early, such complications can easily be avoided.
Peiffersches glandular fever
The Pfeifferische glandular fever is a feverish, lymphatic systemic disease. In technical jargon it is also called mononucleosis.In the course of this a so-called monocyte angina can occur. The cervical, neck and groin lymph nodes are often severely swollen.
The liver and spleen are also affected. Pfeiffer’s glandular fever is triggered by the so-called Epstein-Barr virus. The affected persons are mostly adolescents or young adults.
Antibiotics are ineffective unless a bacterial superinfection has developed in addition to the viral infection. Otherwise Pfeiffer’s glandular fever can only be treated with painkillers and anti-inflammatory drugs. Some patients also take corticosteroids.
The use of corticoids is controversially discussed in the context of Pfeiffer’s glandular fever. Since there are no well-founded studies on the proven effectiveness in this context, opinions differ. Physical protection is particularly important, as the liver and spleen can also swell. There is the danger of a life-threatening rupture of the spleen.
Unique swollen almonds
One-sided swollen tonsils are not as common as double-sided swollen tonsils. Unilateral swollen tonsils can have different causes. They often occur in the context of unilateral tooth inflammation or tooth root surgery, syphilis infections, tuberculosis or benign and malignant tumors.
They can also be caused by unilateral bacterial inflammation. For example, unilateral bacterial inflammation can lead to so-called Plaut-Vincent-Angina. It usually only occurs in adults, often in men.
It is triggered by an infection with so-called spirochetes (Borrelia vincentii) and so-called fusiform rod bacteria (Fusobacterium fusiforme). These pathogens normally belong to the healthy oral flora. For unclear reasons, they sometimes cause Plaut-Vincent-Angina.
There is usually no danger of infection. The tonsils are reddened on one side and gray-white coatings are visible. These coatings resemble an ulcer.
They often smell unpleasant. In addition, there is often increased salivation, difficulty swallowing, swelling of the lymph nodes, fatigue and fever. Furthermore, an inflammation of the oral mucosa, a so-called stomatitis, is usually recognizable. However, subjectively, this often causes minor complaints. The uncomplicated Plaut-Vincent-Angina usually lasts 8-10 days and heals without consequential damage.
