TITLE:
Tonsillitis and Their Complications: Epidemiological, Clinical and Therapeutic Profiles
AUTHORS:
Abdoul Wahab Haidara, Youssouf Sidibé, Djibril Samaké, Amady Coulibaly, Mamadou Karim Touré, Bréhima Bolonpé Coulibaly, Siaka Soumaoro, Boubacary Guindo, Kassim Diarra, Kalifa Coulibaly, Boubacar Sanogo, Mohamed Kéïta, Alhousseini Ag Mohamed
KEYWORDS:
Tonsillitis, Complication, Mali
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.8 No.3,
May
10,
2019
ABSTRACT: Tonsillitis or angina, is considered as an inflammation of the palatine tonsils most often of infectious origin. It can be acute or chronic. The germs in question are mostly viruses and bacteria. Objectives: The objective of this work was to study the epidemiological and therapeutic profile of tonsillitis and their complications in the ENT Department and Head and Neck Surgery of the Mother-Child University Hospital in Luxembourg. Patients and Methods: This is a prospective study over a 12-month period from January 2018 to December 2018, including all patients who presented with tonsillitis and/or their complications. Results: Three hundred and fifteen (315) patients were collected during this period. The average age in our study was 14.25 years with extremes ranging from 2 years to 61 years. The sex ratio was 0.65 in favor of the female sex. During this period we recorded 80.95% of cases of uncomplicated tonsillitis including 60.50% for acute tonsillitis, 24.5% for chronic tonsillitis 5% for adenoid tonsillitis and 19.05% for complications. Complications included peritonsillar phlegmon 42.22%, heart disease 33.33%, cervical cellulitis 8.89%, adeno-phlegmon 6.67%, para-pharyngeal abscess 4.44%, and sepsis 4.44%. The exclusive medical treatment was performed in 44.31%. Surgical treatment (drainage incision and tonsillectomy) was performed in 55.69%. Conclusion: Tonsillitis and its complications represent an important pathology in ENT. Feynophagy febrile is the pair-origin symptom that can lead to the diagnosis. The prevention of complications is the guarantor of the reduction of its morbidity. We recommend that in the absence of RDT (Rapid Diagnostic Test), it is necessary to systematize antibiotic therapy to prevent serious complications.