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...

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Main Authors: Meera Niranjan Khadilkar, Nitin R.Ankle
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-11-01
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
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author Meera Niranjan Khadilkar
Nitin R.Ankle
author_facet Meera Niranjan Khadilkar
Nitin R.Ankle
author_sort Meera Niranjan Khadilkar
collection DOAJ
description 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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spelling doaj.art-6f8ce7ea40394d348ae7cf35af256e632022-12-22T03:06:07ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-11-011011MC01MC0310.7860/JCDR/2016/22124.8819Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic TonsillitisMeera Niranjan Khadilkar0Nitin R.Ankle1Resident, Department of Ear, Nose and Throat, Jawaharlal Nehru Medical College, KLE University, Belgaum, Karnataka, India.Professor, Department of Ear, Nose and Throat, Jawaharlal Nehru Medical College, KLE University, Belgaum, Karnataka, India.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.https://jcdr.net/articles/PDF/8819/22124_CE[Ra]_F(P)_P(ESHA_RK)_PFA(AK)_PF2(PAG).pdfbacteriaporphyromonastonsillectomy
spellingShingle Meera Niranjan Khadilkar
Nitin R.Ankle
Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
Journal of Clinical and Diagnostic Research
bacteria
porphyromonas
tonsillectomy
title Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
title_full Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
title_fullStr Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
title_full_unstemmed Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
title_short Anaerobic Bacteriological Microbiota in Surface and Core of Tonsils in Chronic Tonsillitis
title_sort anaerobic bacteriological microbiota in surface and core of tonsils in chronic tonsillitis
topic bacteria
porphyromonas
tonsillectomy
url https://jcdr.net/articles/PDF/8819/22124_CE[Ra]_F(P)_P(ESHA_RK)_PFA(AK)_PF2(PAG).pdf
work_keys_str_mv AT meeraniranjankhadilkar anaerobicbacteriologicalmicrobiotainsurfaceandcoreoftonsilsinchronictonsillitis
AT nitinrankle anaerobicbacteriologicalmicrobiotainsurfaceandcoreoftonsilsinchronictonsillitis