A Literature Review: Acute Tonsillitis

Authors

Anis Aura Azzahra , Andi Husnul Khotimah , Muhammad Rafly Adrian Sugiono , Yasmin Sabrina Zulkifli

DOI:

10.29303/jbt.v25i4.10202

Published:

2025-10-01

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Abstract

Acute tonsillitis is a bacterial infection characterized by painful swallowing, swelling, and redness of the tonsils. The purpose of this literature review is to improve understanding of acute tonsillitis, which is essential for patient care and a favorable prognosis. The method used is a systematic literature review. The results of this literature review indicate that tonsillitis is a common inflammatory condition affecting the palatine tonsils, accounting for approximately 1.3% of outpatient visits. The condition is typically caused by viral or bacterial infections and manifests with symptoms such as sore throat, fever, odynophagia, and tonsillar erythema or exudate. Viral tonsillitis is often self-limiting; however, bacterial causes most notably Streptococcus group A can lead to significant complications, including peritonsillar abscess, acute rheumatic fever, and poststreptococcal glomerulonephritis. Prompt and accurate diagnosis is essential to distinguish viral from bacterial etiologies. Clinical scoring systems, such as the Centor or McIsaac criteria, and microbiological testing, help guide appropriate management and reduce unnecessary antibiotic use. Early identification and intervention are critical to preventing complications and promoting effective recovery. In conclusion, the prognosis for acute tonsillitis is generally good, with most cases healing on their own without complications.

Keywords:

Acute tonsillitis, acute respiratory tract infection (ARI), tonsillitis.

References

Alasmari, N. S. H., Bamashmous, R. O. M., Alshuwaykan, R. M. A., Alahmari, M. A. M., Alshahrani, A. A. M., Alqarni, S. A., ... & Alamri, S. O. R. (2017). Causes and treatment of tonsillitis. The Egyptian Journal of Hospital Medicine, 69(8), 2975-2980. https://ejhm.journals.ekb.eg/article_12624.html

Anderson J, Paterek E. Tonsillitis. (2023). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544342/

Arambula, A., Brown, J. R., & Neff, L. (2021). Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils. World Journal of Otorhinolaryngology-Head and Neck Surgery, 7(03), 155-160. 10.1016/j.wjorl.2021.04.003

Az-zahro, N. F., Himayani, R., & Sangging, P. R. A. (2023). Etiologi, Diagnosis, Prognosis, dan Tatalaksana. Jurnal Agromedicine, 10(1), 124-127. https://juke.kedokteran.unila.ac.id/index.php/agro/article/view/3133

Bezega, M., Zachepylo, S., Polianska, V., & Podovzhnii, O. (2023). Current views on the functional status of the palatine tonsils in chronic tonsillitis and alternatives in treatment strategies (literature review). Polski Przegląd Otorynolaryngologiczny, 12(1), 26-34. https://otorhinolaryngologypl.com/article/01.3001.0016.3166/en

Düzer, S., Susaman, N., & Winkler, A. A. (2021). Tonsillar Hypertrophy in Childhood. In Pediatric ENT Infections (pp. 239-249). Cham: Springer International Publishing. 10.46566/2500-4050_2022_65_3

Georgalas, C. C., Tolley, N. S., & Narula, P. A. (2014). Tonsillitis. BMJ clinical evidence, 2014, 0503. https://pmc.ncbi.nlm.nih.gov/articles/PMC4106232/

Guntinas-Lichius, O., Geissler, K., Mäkitie, A. A., Ronen, O., Bradley, P. J., Rinaldo, A., ... & Ferlito, A. (2023). Treatment of recurrent acute tonsillitis—a systematic review and clinical practice recommendations. Frontiers in surgery, 10, 1221932. 10.3389/fsurg.2023.1221932

Gupta G, McDowell RH. Peritonsillar Abscess. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519520/

Hadijah, N. A., Dahlia, D., & Marimba, A. D. (2025). Penatalaksanaan Holistik Pada Anak Usia 11 Tahun dengan Tonsilitis Kronik Melalui Pendekatan Kedokteran Keluarga. Innovative: Journal Of Social Science Research, 5(3), 1613-1628. https://doi.org/10.31004/innovative.v5i3.18395

Huang, Q., Hua, H., Li, W., Chen, X., & Cheng, L. (2020). Simple hypertrophic tonsils have more active innate immune and inflammatory responses than hypertrophic tonsils with recurrent inflammation in children. Journal of Otolaryngology-Head & Neck Surgery, 49(1), 35. https://journalotohns.biomedcentral.com/articles/10.1186/s40463-020-00428-3

IDI (2014) Panduan Praktik Klinis Bagi Dokter di Fasilitas Pelayanan Kesehatan Primer.

Juniantari, N. P. A., Negara, G. N. K., & Satriani, L. A. (2023). Hubungan Perilaku Merokok Orang Tua dengan Kejadian ISPA pada Balita Umur 1–4 Tahun. Hearty, 11(2), 207-214. https://doi.org/10.32832/hearty.v11i2.15046

Kemenkes RI (2019) ‘Laporan Nasional Riskesdas 2018’. Jakarta: Lembaga Penerbit Balitbangkes.

Kilinc, S. B., Cingi, C., & Jovancevic, L. (2025). Tonsillitis in Children. In Pediatric Airway Diseases (pp. 687-693). Cham: Springer Nature Switzerland. 10.1007/978-3-031-74853-0_54

Prasetya, S. M. L., Rizal, A., & Ramatryana, I. N. A. (2015). Simulasi Deteksi Tonsilitis Mengunakan Pengolahan Citra Digital Berdasarkan Warna dan Luasan pada Tonsil. Jurnal Nasional Teknik Elektro dan Teknologi Informasi, 4(1), 45-49. https://jurnal.ugm.ac.id/v3/JNTETI/article/view/3033

Laporan Nasional riskesdas 2018. (2019). . Kementerian Kesehatan, Republik Indonesia, Badan Penelitian dan Pengembangan Kesehatan.

Manurung, R. (2016). Gambaran Faktor–Faktor yang Berhubungan dengan Pencegahan Tonsilitis pada Remaja Putri di Akper Imelda Medan Tahun 2015. Jurnal Ilmiah Keperawatan Imelda, 2(1), 28-31. 10.2411/jikeperawatan.v2i1.232

Marbun, E. M. (2016). Diagnosis, Tata Laksana dan Komplikasi Abses Peritonsil. Jurnal Kedokteran Meditek, 22 (60); 42-47. https://core.ac.uk/download/pdf/326447045.pdf

Masters, K.G., Zezof, D. and Lasrado, S. (2023) Anatomy, Head and Neck, Tonsils, StatPearls. Available at: https://ncbi.nlm.nih.gov/books/NBK539792/ (Accessed: 30 March 2024).

Menteri Kesehatan Republik Indonesia (2018) ‘Keputusan Menteri kesehatan Republik Indonesia Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tonsilitis’.

Perry, M. (2021). The Throat: Part I. In Diseases and Injuries to the Head, Face and Neck: A Guide to Diagnosis and Management (pp. 1337-1358). Cham: Springer International Publishing.

Prasetya, G. Z., Kusumastuti, A. C., & Kurniawati, D. M. A. (2018). Pengaruh Suplementasi Seng terhadap Kejadian Tonsilitis pada Balita. Journal of Nutrition College, 7(4), 186-194. https://doi.org/10.14710/jnc.v7i4.22278

Riset Kesehatan Dasar: Riskesdas, 2013. (2013). . Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI.

Samara, P., Athanasopoulos, M., & Athanasopoulos, I. (2023). Unveiling the enigmatic adenoids and tonsils: exploring immunology, physiology, microbiome dynamics, and the transformative power of surgery. Microorganisms, 11(7), 1624. 10.3390/microorganisms11071624

Samara, P., Athanasopoulos, M., & Athanasopoulos, I. (2023). Unveiling the enigmatic adenoids and tonsils: exploring immunology, physiology, microbiome dynamics, and the transformative power of surgery. Microorganisms, 11(7), 1624. 10.3390/microorganisms11071624

Sembiring, D. D. P., Imanto, M., Sangging, P. R. A., & Angraini, D. I. (2024). Laboratory Examination in Tonsillitis: A Literature Review. Medical Profession Journal of Lampung, 14(11), 2037-2041. https://doi.org/10.53089/medula.v14i11.1434

Walijee, H., Patel, C., Brahmabhatt, P., & Krishnan, M. (2017). Tonsillitis. InnovAiT, 10(10), 577-584. https://doi.org/10.1177/1755738017717752

Wiratama, P. J. (2023). Sebuah Tinjuan Pustaka: Tonsilitis Kronis. Jurnal Medika Hutama, 4(2), 3244-3250. https://jurnalmedikahutama.com/index.php/JMH/article/view/599

Author Biographies

Anis Aura Azzahra, Universitas Mataram

Author Origin : Indonesia

Andi Husnul Khotimah, Universitas Mataram

Author Origin : Indonesia

Muhammad Rafly Adrian Sugiono, Universitas Mataram

Author Origin : Indonesia

Yasmin Sabrina Zulkifli, Universitas Mataram

Author Origin : Indonesia

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How to Cite

Azzahra, A. A., Khotimah, A. H., Sugiono, M. R. A., & Zulkifli, Y. S. (2025). A Literature Review: Acute Tonsillitis. Jurnal Biologi Tropis, 25(4), 4957–4963. https://doi.org/10.29303/jbt.v25i4.10202

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