ABSTRACT
Pharyngitis in the most common site to bacterial infection of Streptococcus hemolyticus and subsequently rheumatic activity. Tonsillectomy is one of the prophylactic lines to manage rheumatic fever. The immunological differences after tonsillectomy were the aim of this work. Rheumatic marker on B-lymphocyte and Fc-receptor on blood monocytes are estimated before and after tonsillectomy. The results are compared with normal subjects and to patients with acute active disease of rheumatic fever. The rheumatic marker is significantly increased in active rheumatic patients compared to the normal control group. Meanwhile, the Fc-receptor is significantly decreased compared with normal subjects. The rheumatic marker is significantly negative correlated to the Fc-receptor in active diseased patients. The rheumatic marker after tonsillectomy is completely eradicated and closed to the value of normal control subjects. On the other hand, the Fc-receptor is significantly increased after tonsillectomy but still significantly lower than normal control subjects