There are several diseases, accompanied by the occurrence of ulcers on tonsils. For example, Vincent’s angina, induced by a specific incitant agent, is characterized by this very peculiar symptom. Initially, it can take a practically asymptomatic course; however the disease is threatening with possible complications. Agranulocytosis and leucosis constitute a totally different matter. These diseases are aggressive in themselves, while ulcerous tonsillitis is just one of its evidences. In any case, ulceration of the mucous membrane of tonsils is an alerting symptom, which requires additional examination by an otolaryngologist.
Inflammatory processes on any mucous membrane, and particularly on tonsils, are classified according to the intensity of proliferation. Catarrhal inflammation is expressed in reddening of tissues and discharge of liquid matter. The next stage involves appearance of membranes and purulent coating and is referred to as fibrinous inflammation, which is observed in such diseases as lacunar and follicular tonsillitis.
Destruction of the inflamed tissue is the most virulent symptom, which is actually putrid inflammation, eventually leading to necrosis of the mucous membrane. This type of pathological course of tonsillitis is typical to agranulocytic tonsillitis, tonsillitis in the presence of leucosis and fusospirochetal gingivitis, otherwise referred to as Vincent’s angina. These severe diseases involve appearance of ulcers on tonsils.
Vincent’s angina, in which case tonsils are covered with deep ulcers
Incitant agents of this disease are spirochete of the oral cavity and the fusiform bacteria, which create a pestilent symbiosis. Putrid inflammation develops in the result of their harmful influence on the tissues of the organism, weakened due to exhausting diets, vitamin deficiency, a recent infectious disease or a severe somatic pathology. Presence of local nidi (sites) of pathological infection, such as decaying teeth, gingivitis, stomatitis and others is of significant importance in the etiology of Vincent’s angina.
The initial stage of this disease involves necrosis of the upper layer of one of the tonsils, with the occurrence of ulcers, covered with a loose fibrous membrane of dingy gray coloring with a yellowish hue. Eventually, the ulcer can grow deeper, up to the decomposition of the tonsil and proliferation of the process onto lower tissues.
It is important to keep in mind that symptoms of Vincent’s angina are often unnoticed: general well-being is almost undisturbed, body temperature rises for no more than one degree. However, enlargement of lymph nodes along the inflamed side is rather prominent (this pathology is usually one-sided). The patient complains of the sensation of foreign body in the throat, difficulty swallowing, bad breath and excessive salivation. Acute exacerbation with pronounced pain and complete decomposition of tonsils can be observed in just two weeks after the beginning of the disease.
The treatment of Vincent’s angina includes immediate antibiotic therapy, prescribed by an otolaryngologist, as well as daily procedures, including removal of pus from the surface of tonsils, and treating them with antiseptic solutions. Local gargling and sprays are also being applied. Wholesome nutrition, rich in vitamins is also vital for complete recovery.
Ulcers on tonsils in case of blood diseases
Agranulocytosis is a blood pathology, which is about rapid decrease of protective white blood cells (neutrocytes, eosinocytes, basocytes) up to their complete deficiency. It develops as a symptom of various diseases – for example, autoimmune diseases (lupus), allergic (especially, induced by certain medication), infectious, provoked by radiation, etc. This phenomenon is accompanied by increased sensibility to infections and threatens with the rapid development of sepsis – penetration of bacteria into the blood. Such a background can lead to the development of a specific type of tonsillitis.
This disease begins with the rapid rise of body temperature up to 40°, sore throat, and bad breath. The skin acquires grayish coloring, while the whites of the eyes become somewhat yellow. A few days later spontaneous external bruises are observed on various parts of the body. The throat is marked with ulcers on tonsils.
The treatment of this condition is only possible in the clinic. It should be aimed at controlling joining infections and promotion of the blood forming function. Therapy includes antibiotics, medical stimulation of blood forming organs, transfusion of blood components, local treatment of the inflamed organs, including tonsils. This is a highly virulent disease.
Leucosis is an oncological pathology of blood, characterized by leukocyte deficiency. Tonsillitis is often observed in patients with acute leucosis. It is expressed in the occurrence of ulcers on the surface of tonsils. The therapy is usually carried out in hematological clinics. Its main purpose is compensation of leucosis, whereas the treatment of tonsillitis is symptomatic.
It should be noted that in such serious cases, as agranulocytosis and acute leucosis, tonsillitis is considered to be just one of the possible complications. Nevertheless, such life threatening diseases can be disclosed during the diagnostics of necrotized tonsillitis.
Thus, ulcers on tonsils are more likely to be an alerting symptom of a more serious disease than just covering of tonsils with pus. In order to exclude the most virulent variants, it is required to visit an otolaryngologist and undergo all the necessary testing.