RESUMO
The authors investigated whether or not Chlamydia trachomatis could be isolated from tonsillar crypts in order to establish directly the relationship of the organism to the tonsillar infection. In 17 of 65 (26.2%) cases with tonsillitis, C. trachomatis was recovered from tonsillar crypts. Ten of the 17 Chlamydia-positive patients were attended for recurrent sore throat and 5 for lingering tonsillitis. Thirteen of the 17 cases had serum antibody to C. trachomatis. We also isolated this microorganism from one of 18 persons complaining of a lumpy throat. Eleven of the 18 Chlamydia-positive patients had pertinent histories of oro-genital sexual activity, and pharyngeal infection apparently resulted from direct inoculation. The available data suggest that tonsillitis, the most common problem in otorhinolaryngology, may be caused by C. trachomatis more often than has been suspected.
Assuntos
Infecções por Chlamydia , Tonsilite/microbiologia , Anticorpos Antibacterianos/análise , Infecções por Chlamydia/induzido quimicamente , Infecções por Chlamydia/transmissão , Chlamydia trachomatis/isolamento & purificação , Feminino , Humanos , Masculino , Tonsilite/diagnóstico , Tonsilite/transmissãoAssuntos
Doenças do Cão/transmissão , Oftalmopatias/veterinária , Infecções Estreptocócicas/veterinária , Tonsilite/transmissão , Animais , Criança , Doenças do Cão/microbiologia , Cães , Oftalmopatias/transmissão , Feminino , Humanos , Pessoa de Meia-Idade , Infecções Estreptocócicas/transmissão , Tonsilite/microbiologiaRESUMO
267 outpatients with acute tonsillitis were studied with regard to clinical signs and symptoms and presence of beta-hemolytic streptococci. Beta-hemolytic streptococci were found in 169 patients (63%), compared to 6/64 healthy controls (9%). Of the tonsillitis patients with beta-hemolytic streptococci, 80% harboured group A and 20% groups C and G. Five out of 6 controls had group C and G streptococci. Eight clinical signs and symptoms of acute tonsillitis were rated on a 10-point scale. A correlation was found between redness in the oropharynx and on the tonsils and positive culture for beta-hemolytic streptococci group A. The total WBC count, polymorphonuclear leucocytes and ratio of polymorphonuclear to mononuclear leucocytes were strongly correlated to a positive culture for streptococci group A. Groups C and G did not show these correlations. The study stresses the importance of quantitative culture technique and the value of this for diagnosis in the acute ill patient with tonsillitis.
