Acute bacterial tonsillitis

Case contributed by Dr David Cuete


Fever, pain on swallowing,swollen tonsils, white pus-filled spots on the tonsils.

Patient Data

Age: 20 years
Gender: Female

CT neck


Enlarged bilateral palatine tonsils with hyperemia of the mucosa, but no collection. Multiple, reactive, enlarged lymph nodes, some with heterogeneous enhancement in cervical groups II and V. 

Pharyngeal mucosal, retropharyngeal, parapharyngeal, submandibular and masticator spaces are normal.

Case Discussion

CT of the neck reveals enlarged palatine tonsils with a serpentine enhancement pattern characteristic of uncomplicated tonsillitis, from infolding of mucosa into the tonsillar crypts.

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