• Inamullah Khan
  • Sarfaraz Ahmad
  • Javed Akhtar Chawala


Background: Tonsillitis is one of the most common childhood afflictions. This prospective studywas designed to explore the possible role of fine needle aspiration of recurrently inflamed tonsilsin determining their core flora. Results: Seventy-seven patients at DHQ Hospital Haripurundergoing tonsillectomy for recurrent tonsillitis were included in the study. Colonies grown fromfine needle aspirate and surface swab were compared with tonsillar core culture obtained aftertonsillectomy. The pathogens isolated by fine needle aspiration culture were not greatly differentfrom surface swab results in comparison to core isolates. Conclusion: The results of fine needleaspirate do not appear to confer any advantage over surface swab in representing core flora. Thesefindings indicate no preferred clinical use for fine needle aspiration in the management ofrecurrent tonsillitis.Keywords: Fine needle aspiration (FNA), Culture, Tonsillitis


Komaroff AL, Aronson MD, Pass TM, Ervin CT, Branch WT

Jr, Schachter J. Serologic evidence of chlamydial and

mycoplasmal pharyngitis in adults. Science 1983;222:927–9.

Palumbo FN. Pediatric consideration of infections and

inflammations of Waldeyers ring. Otolaryngol Clin North Am


Bluestone CD. Status of tonsillectomy and adenoidectomy:

Laryngoscope 1977;87:1233–43.

Rose G, Samuel J, Vered I. Surface tonsillar micro flora vs.

deep tonsillar micro flora in recurrent acute tonsillitis. J

Laryngol Otol 1977;11:911–3.

Brooks I, Yocum P. Bacteriology of chronic tonsillitis in

young adults. Arch Otolaryngol 1984;110:803–5.

Surov JB, Handler SD, Teilen SA, Fleisher GR, Baranak GC.

Bacteriology of tonsillar surface and core in children.

Laryngoscope 1989;99:261–5.

Timon CI, Cafferkey MT, Walsh M. Fine needle aspiration in

recurrent tonsillitis. Arch Otolaryngol 1991;117:653–6.

Bailer R, Maran AGD, (Eds). Logan Turner’s Textbook of

Otolaryngology, 10th ed. London: Jhon Wright; 1988.p. 363.

Mawson SR. Acute infections of middle ear cleft. In: Ballantyne

J, Groves J, (Eds). Scott Brown’s Disease of Ear, Nose and

Throat. 4th ed. London: Butterworth’s; 1979.p. 175–92.

Brooks I. The role of β-lactamase producing bacteria in

persistence of streptococcus tonsillitis. Rev Infect Dis


Everett MT. The cause of tonsillitis. Practitioner


Brodsky L, Moore L, Stanievich J. The role of haemophilus

influenza in the pathogenesis of tonsillar hypertrophy in

children laryngoscope 1988;98:1055–60.

DeDio RM, Tom LW, McGowan KL, Wetmore RF, Handler

SD, Potsic WP. Microbiology of the tonsils and adenoids in a

pediatric population. Arch Otolaryngol Head Neck Surg


Wetmore RF. Tonsils and adenoids. In: Bonita F Stanton,

Kliegman, Robert; Nelson, Waldo E, Behrman, Richard E,;

Jenson, Hal B, (Eds). Nelson Textbook of Pediatrics.

Philadelphia: Saunders; 2007. Chap 380.

Thuma P. Pharyngitis and tonsillitis. In: Hoekelman, Robert

A, (Eds). Primary Pediatric Care. St. Louis: Mosby; 2001.p.


Simon HB. Bacterial infections of the upper respiratory tract.

In: Dale, David. ACP Medicine, 2006 ed. (Two Volume Set)

(Webmd Acp Medicine). WebMD Professional Publishing.

ISBN 0-9748327-6-6.

Tonsillopharyngitis. Merck Manual of Diagnosis and Therapy

Professional Edition. Available at: