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Tonsillitis for 2 months
Hi
I am 28 years old male ,before two months I got sever sore throat ,dysphagia and odynophagia ,with out any other symptoms like fever and and cough,but I had nausea and I lost weight ,6 days before that I had unprotected sex .so I am afraid of HIV tonsillitis .
Past history.i had history of recurrent tonsillitis in past 3 years but every time was not sever and returned back to normal after taking antibiotic .
On exam.
My tonsils enlarged bilatteraly(follicular) specially in right side with multiple white spot on both of them and ptechiae on soft palate
Inverstiagtion
Wbc was 8700
Lymphocyte percentage was in lower normal range limit
Paul bunnel test was negative
Aso titer normal
Culture was negative
ESR was 3mm /hr
Treatment : I received antibiotic
Ceftriaxon vial for 5 days
Cefpodoxime(orelox) 5 days without significant improvement in my condition
So my ENT prescribed for me
Co-amoxiclav and ciprofloxacin for next 5 days
After all these medication white spot on tonsils went away but tonsil still enlarged till today .
My question is that
1_could this tonsillitis due to acute HIV infection? Usually tonsilar enlargement by HIV will last how many days till return back to normal?
2_what is differential diagnosis of my condition and do you suggest tonsillectomy??
3_drinking alcohol can affect my condition?
I attached the photos of my tonsil before 2 months and now
http://www.4shared.com/photo/0dnahG2U/new_one.html
http://www.4shared.com/photo/tKYmITPf/tonsilsold_one.html
Best regards
I am 28 years old male ,before two months I got sever sore throat ,dysphagia and odynophagia ,with out any other symptoms like fever and and cough,but I had nausea and I lost weight ,6 days before that I had unprotected sex .so I am afraid of HIV tonsillitis .
Past history.i had history of recurrent tonsillitis in past 3 years but every time was not sever and returned back to normal after taking antibiotic .
On exam.
My tonsils enlarged bilatteraly(follicular) specially in right side with multiple white spot on both of them and ptechiae on soft palate
Inverstiagtion
Wbc was 8700
Lymphocyte percentage was in lower normal range limit
Paul bunnel test was negative
Aso titer normal
Culture was negative
ESR was 3mm /hr
Treatment : I received antibiotic
Ceftriaxon vial for 5 days
Cefpodoxime(orelox) 5 days without significant improvement in my condition
So my ENT prescribed for me
Co-amoxiclav and ciprofloxacin for next 5 days
After all these medication white spot on tonsils went away but tonsil still enlarged till today .
My question is that
1_could this tonsillitis due to acute HIV infection? Usually tonsilar enlargement by HIV will last how many days till return back to normal?
2_what is differential diagnosis of my condition and do you suggest tonsillectomy??
3_drinking alcohol can affect my condition?
I attached the photos of my tonsil before 2 months and now
http://www.4shared.com/photo/0dnahG2U/new_one.html
http://www.4shared.com/photo/tKYmITPf/tonsilsold_one.html
Best regards
Best Answer
MEDICAL PROFESSIONAL
Hello and hope you are doing well.
Understand your predicament. Yes, tonsillar enlargement is usually due to infective causes, this is more so as there are white patches and petechiae. White patches are common in many throat infections. The sore throat and tonsillitis which you have may have contributed to it. In response to the infection the body produces soft white debris which collects in the tiny indentations in the tonsils called crypts. Repeated salt water gargles will help. Mix one teaspoon of salt in 1 cup of warm water and gargle. If the patches increase in size or become painful then consult your doctor.
Hope this helped and do keep us posted.
Understand your predicament. Yes, tonsillar enlargement is usually due to infective causes, this is more so as there are white patches and petechiae. White patches are common in many throat infections. The sore throat and tonsillitis which you have may have contributed to it. In response to the infection the body produces soft white debris which collects in the tiny indentations in the tonsils called crypts. Repeated salt water gargles will help. Mix one teaspoon of salt in 1 cup of warm water and gargle. If the patches increase in size or become painful then consult your doctor.
Hope this helped and do keep us posted.
thank you for your answer,actually doing HIV test for me it is very difficult we can say i can't do it because of problem to be positive in my country.could persistence enlargement due to bacterial infection?in case of lymphoma .tonsils enlargement will be in the form of follicuar tonsillar enlargement?
regards
regards
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As you are worried, you could have yourself tested to rule out an HIV infection. To confirm the presence of HIV infection, the most specific test would be testing for its antibodies with an ELISA test which is a screening test which looks for antibodies in the blood. The antibodies are usually produced within 1-3 months of the infection. If this test is positive as a lot of false positivity exists with this test another more specific test to detect the antibodies is the Western blot test.
Sometimes persistent enlargement of the tonsil can sometimes be due to a lymphoma. It would be worthwhile to see if other lymph groups are enlarged namely, axilla and groin, these can be palpated, the others like those in the chest or abdomen may need a CT to detect their enlargement. Sometimes the tonsil may be removed for histopathological study. Please discuss this with your doctor am sure he will provide further assistance.
Hope this helped and do keep us posted.