[Polymicrobial infections in recurrent tonsillitis and adenoiditis in children]
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Updated: Nov 8, 2026

Isolation of Tonsillar Mononuclear Cells to Study Ex Vivo Innate Immune Responses in a Human Mucosal Lymphoid Tissue
Published on: June 14, 2020
J Virgala1, O Brandeburová, V Sopko
1Detská nemocnica, Kosice.
Abstract:
Bacteriological examination focused on the aerobic and anaerobic flora from ectomized tonsils in 17 patients with recurrent tonsillitis, in 8 patients with hypertrophy of the tonsils and 122 children with an adenoid vegetation confirmed microbial aetiology. In ectomized tonsils and adenoids aerobic gram-positive bacteria comprised most frequently staphylococci, and gram-negative bacteria H. influenzae. As to anaerobic gram-positive bacteria, they isolated most frequently peptostreptococci, and as to gram-negative ones B. fragilis from tonsils and Bacteroides sp. from adenoids. In the treatment of recurrent infections of the upper respiratory pathways it is important to use preferentially aminopenicillins combined with beta-lactamase inhibitors and lincosamides.
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Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.
Tonsillitis II: Management
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Microbiota of the Respiratory Tract
Streptococcal Pharyngitis

