6 Year Girl with Acute Exacerbation of Chronic Tonsillitis with Adenoid Hypertrophy

Abstract

Acute bacterial tonsillitis is an acute inflammation of the palatine tonsils caused by viral and bacterial infections. The main causative viruses are Epstein bar virus, H. influenzae virus, and Coxsackie virus. Tonsillitis is most common in children but rare in children < 2 years old. Adenoid hypertrophy is an obstructive condition associated with an increase in the size of the adenoids. This condition may occur with or without acute or chronic adenoid infection. The problem is described using descriptive case study method, starting from history taking, physical examination, supporting examination, diagnosis, to qualitative intervention management given to the patient. A case of a six-year-old girl with complaints of fever, nausea, and vomiting since six days before admission to the hospital is reported. Complaints were accompanied by pain when swallowing and a lump in the throat. History of recurrent cough and cold for about six months. For about two months, complaints of snoring at night that disturbed the patient's sleep. The patient also complained that sometimes his nose felt full. On physical examination, the throat mucosa was found to be pink, palatine tonsils T4/T4 and hyperemic, tonsil crypts were wide, and the pharynx and adenoids were difficult to assess. On supporting examination, adenoid hypertrophy was found. The patient was then diagnosed with Acute Exacerbation of Chronic Tonsillitis with Adenoid Hypertrophy and given therapy such as ceftriaxon inj 1gr IV 2x600mg, cetirizine syr 2x1cth, methylprednisolone inj IV 3x25mg. After control a week later, the patient's condition showed significant changes, and complaints were reduced a lot.