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33 year old female suffered an attack of acute follicular tonsillitis for days. The pain in her throat started now to localize unilaterally on the left side with ear ache in the left ear. She has diffculty in opening her mouth.

(a) What is the possible diagnosis?
Chronic tonsillitis

(b) Why is the pain felt in the ear?
Referred through Jackbsons nerve of glosso

(c) What other symptoms and signs do you expect in the final case?

Symptoms: general : manifestation of septic focus

Local: recurrent acute attacks
otalgia
foetor oris
enlarged tonsils

(d) What are the further complications that may occur later?
Septic focus


(e) How do you treat this cause?
Tonsillectomy for bacterial chronicity not viral chronicity.