Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
Introduction: Tonsillar infection may stem from bacteria within tonsillar crypts or parenchyma rather than from those on the surface. Pathogens isolated from surface culture may be colonizing the tonsil, but not essentially infecting it. Anaerobes though not often studied, are known to cause chr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8819/22124_CE[Ra]_F(P)_P(ESHA_RK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: Tonsillar infection may stem from bacteria within
tonsillar crypts or parenchyma rather than from those on the
surface. Pathogens isolated from surface culture may be
colonizing the tonsil, but not essentially infecting it. Anaerobes
though not often studied, are known to cause chronic tonsillitis.
Aim: To study the correlation of anaerobic bacterial isolates in
surface and core cultures from recurrently infected and inflamed
tonsils.
Materials and Methods: A cross-sectional study was conducted
in Charitable Hospital and Medical Research Centre, Belagavi
from January 2014 to December 2014 on 100 patients of chronic
tonsillitis who underwent tonsillectomy. Swabs were obtained
from tonsil surface and core and analysed for anaerobes as per
standard protocol. Chi-square test and Fischer-Exact test were
used for statistical analysis.
Results: Twenty eight out of 63 (44.4%) patients had anaerobic
growth on tonsil surface and 30 out of 62 (48.4%) patients had
anaerobic growth in tonsil core. Porphyromonas sp. was the
most common anaerobe isolated from the surface as well as
from the core. There was no statistical significance between
anaerobes isolated in the tonsil surface and core.
Conclusion: Anaerobic organisms obtained from tonsil surface
and core cultures were similar. A throat swab satisfactorily
depicts the core organism and is reliable in recognizing the
bacteriology of chronic tonsillitis. Anaerobic organisms known
to inhabit the surface as well as the core of tonsils may be
treated with suitable antibiotic therapy. |
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| ISSN: | 2249-782X 0973-709X |