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[Tonsillar mast cell infiltration and allergic tonsillitis].

F J García Callejo1, M H Orts Alborch, P Roselló

  • 1Servicio de ORL, Hospital Clínico Universitario de Valencia.

Acta Otorrinolaringologica Espanola
|June 27, 2003
PubMed
Summary

A seven-year-old boy experienced recurrent tonsillitis after strawberry ingestion, diagnosed as a hypersensitivity reaction. Corticosteroids provided short-term relief, with tonsillectomy being the definitive treatment for this condition.

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Area of Science:

  • Immunology
  • Otolaryngology

Background:

  • Recurrent tonsillitis can significantly impact a child's quality of life.
  • Identifying underlying triggers and mechanisms is crucial for effective management.

Observation:

  • A seven-year-old boy presented with acute exudative tonsillitis following strawberry ingestion.
  • Subsequent episodes of tonsillitis were linked to cool drinks and tonsil manipulation.
  • Bacterial cultures from tonsils revealed Staphylococcus sp. and Streptococcus sp.

Findings:

  • The patient's condition was diagnosed as hypersensitivity type I.
  • Histopathology of palatine tonsils showed mast cell infiltration in germinal centers.
  • Corticosteroid therapy temporarily reduced the frequency and severity of tonsillitis episodes.

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Implications:

  • This case highlights a potential link between food hypersensitivity and recurrent tonsillitis.
  • Mast cell infiltration may play a role in the pathogenesis of hypersensitivity-induced tonsillitis.
  • Tonsillectomy remains a definitive therapeutic option for refractory cases.