EVALUATING THE CAUSE OF MEMBRANOUS TONSILLITIS AND THE EFFECTIVENESS OF EPIDEMIOLOGICAL AND LABORATORY CLINICAL INDICATORS IN DIRECTING ITS TREATMENT

Abstract

Background: One of the most prevalent forms of acute tonsillitis in children is membranous tonsillitis. Despite the fact 
that different microorganism species have been linked to membranous tonsillitis, doctors believe that bacteria may be the 
cause, and they typically administer antibiotics from the penicillin class. 
Aim: The purpose of the current study was to evaluate the causes of membranous tonsillitis and the effectiveness of 
laboratory clinical and epidemiological factors in directing the treatment of membranous tonsillitis.  
Methods: The current study evaluated 846 patients with membranous tonsillitis who visited the institute's pediatric 
emergency department between the ages of 0 and 18 throughout the specified study period. Laboratory, clinical, and 
epidemiological parameters were evaluated and documented in every participant. 
Results: Of the 846 research participants, 31.2% (n=264) had Group A beta-haemolytic streptococcus identified, followed 
by EBV (Epstein-Barr virus) in 24.3% (n=206) and other viral etiology in 44.4% (n=376). Of the people who tested 
positive with EBV, 27% were prescribed antibiotics, and 98% had Downey cells. Appropriate antibiotics were 
administered to 7% of research participants who had positive throat cultures. 
Conclusion: the most often linked causal agents in patients with membranous tonsillitis were Epstein Barr virus and 
Group A beta-haemolytic streptococcus. The majority of diagnostic investigations in pediatric emergency rooms are 
peripheral blood smears and throat cultures, which guarantee the proper diagnosis and treatment of membranous 
tonsillitis. 
Keywords: membranous tonsillitis, throat infection, tonsillitis, Group A beta-haemolytic streptococcus