Analysis of Chronic Tonsillitis: A Case Study

Abstract

Background: Tonsillitis is the third most infectious ear, nose, and throat disease after rhinopharyngitis and otitis. Tonsillitis can have local or general complications. Tonsillitis is a health problem in society because of its incidence, frequency, and many socioeconomic impacts. Tonsillitis and its complications are important pathologies in ENT. Tonsillitis occurs in most cases in children and young adults, especially between the ages of 20 and 30 years, with a slight predominance in women. Case Report: The patient is a 20-year-old female who came to the ENT Polyclinic at Jakarta Harbor Hospital complaining of difficulty swallowing for two months. Complaints are felt continuously, such as discomfort when swallowing, increased difficulty swallowing, pain when swallowing, and decreased appetite. Complaints worsen and recur when the patient drinks cold drinks such as ice. The patient complained that he was often restless while sleeping, so the patient often woke up at night. Patients complain that they often experience shortness of breath and are more comfortable when breathing through their mouths. Complaints of fever were felt to have been intermittent for the previous two months, the last fever was two days before his arrival at the polyclinic with a measured temperature of 38.9℃. Fever occurs two times a week. The patient recovered and was stable after treatment in the form of analgesic therapy through the administration of ibuprofen or paracetamol, corticosteroid therapy through administration of a dose of corticosteroid as an anti-inflammatory, 3x1 prednisone tablet for three days, mouthwash therapy via antiseptic mouthwash containing chlorhexidine or benzydamine can reduce complaints of sore throat and improve symptoms; antibiotic therapy by administering oral Amoxicillin 50 mg/kg BW once a day or 25 mg/kg BW twice a day for ten days, first-generation cephalosporins such as cephalexin (orally 20 mg/kg BW twice a day) and cefadroxil (orally 30 mg/kg BW once a day) given for ten days, Clindamycin orally 7mg/kg BW, three times a day, Azithromycin orally 12 mg/kg BW once a day, Oral clarithromycin 7.5 mg/kg BW two times a day.