Does tonsil suppuration require intravenous infusion?

Tonsillitis is a very common disease in daily life. Tonsillitis can easily lead to symptoms such as hoarseness of the throat and fever. Long-term inflammation can easily cause suppuration, which is very harmful to health. In addition to drug treatment, tonsillitis also requires intravenous anti-inflammatory treatment. It is better to appropriately inject some anti-inflammatory fluids.

Does tonsil suppuration require intravenous infusion?

1. If you only take the medicine prescribed by the doctor, you will definitely need an IV drip. There is no specificity at all.

2. As long as the medication is used correctly, you don’t need an IV. If you are not allergic to penicillin, it is recommended

3. If the effect is really not good, intravenous infusion is needed.

Function

The palatine tonsils are the largest, and the tonsils commonly referred to are the palatine tonsils. There is a pair of palatine tonsils, located between the lingual palatine arch and the pharyngeal palatine arch. They are oval in shape and covered with stratified squamous epithelium. The epithelium sinks into the tonsil to form 10 to 20 crypts, which contain desquamated epithelial cells, lymphocytes, and bacteria. Lymph nodules and diffuse lymphoid tissue are densely distributed beneath the epithelium and around the crypts. Lymphocytes often pass through the epithelium and deposit in the oropharynx. The tonsil capsule is a layer of dense connective tissue that separates the palatine tonsils from adjacent organs and acts as a barrier to prevent the spread of palatine tonsil infection.

Tonsils can produce lymphocytes and antibodies, so they have anti-bacterial and anti-viral defense functions. The pharynx is the only way for food and air to pass through and is prone to hiding germs and foreign objects if it is frequently touched. The rich lymphatic tissue and tonsils in the pharynx perform the task of defending and protecting this special area of ​​the body. However, this area is also susceptible to infection and invasion by bacteria such as hemolytic streptococci, staphylococci and pneumococci. These bacteria are normally found in the crypts of the human pharynx and tonsils. Under normal circumstances, due to the integrity of the tonsil surface epithelium and the continuous secretion of mucous glands, bacteria can be discharged from the crypt opening along with the shed epithelial cells, thus maintaining the health of the body. When the body's resistance is reduced due to excessive fatigue, cold, etc., the epithelial defense function is weakened, and the glandular secretion function is reduced, the tonsils will be infected by bacteria and become inflamed. If tonsillitis recurs and has adverse effects on the whole body, surgical removal of the tonsils may be considered.

Structural classification

Palatine tonsils

The palatine tonsils are oval in shape, with one mucosal surface covered with stratified squamous epithelium, which sinks into the lamina propria to form crypts with 10 to 30 branches. There are a large number of diffuse lymphoid tissues and lymph nodules in the lamina propria surrounding the crypts. The stratified squamous epithelium deep in the crypt contains many T cells, B cells, plasma cells and a small number of macrophages and Langerhans cells, which is called the epithelial infiltrate. There are also some post-capillary venules in the epithelium, which are the main channels for lymphocytes to enter and exit the epithelium. There are many tunnel-like intercellular channels between epithelial cells. Some superficial channels open directly to the surface, and some channel openings are covered with a flat microfold cell (microfold cell, Mcell). Epithelial spaces are populated by T cells, which migrate and replace frequently. Intraepithelial plasma cells are often distributed near fenestrated capillaries, facilitating the secreted antibodies to enter the bloodstream. The palatine tonsils of children are more developed, and their lamina propria contain a large number of diffuse lymphoid tissue and lymph nodules. Their number and degree of development are closely related to antigen stimulation. B cells in tonsil lymphoid tissue account for 60% of the total lymphocytes, T cells account for 38.5%, and there are a small number of K cells and NK cells. There are more T cells in the diffuse lymphoid tissue, as well as scattered plasma cells, B cells and some post-capillary venules. Lymph nodules are often numerous and large, indicating that the tonsils have a close relationship with the body's humoral immune function. There are also some small lymphatic vessels in the lamina propria, through which lymphocytes can enter the lymph.

Pharyngeal tonsils

Pharyngeal tonsils, also known as adenoids, are located on the posterior wall of the pharynx. The surface is covered with pseudostratified ciliated columnar epithelium and has no crypts. The mucosa forms some longitudinal folds, there are many lymphoid tissues in the lamina propria, lymphocyte infiltration is also common in the epithelium, and the epithelium in the infiltrated part often becomes stratified squamous epithelium.

Lingual tonsils

The lingual tonsils are located at the base of the tongue and the anterior wall of the pharynx. The surface is covered with stratified squamous epithelium and some shallow crypts. There are lymphocyte infiltrations in the epithelium, and some lymph nodes and diffuse lymphoid tissue in the lamina propria, which often make the tongue mucosa move toward the surface.