Tonsillitis Chronic Parenchymatous

Chronic parenchymal tonsillitis

Chronic parenchymal tonsillitis is a chronic inflammation of the tonsils, in which thickening and compaction of the tonsil tissue occurs.

With this disease, the tonsils increase in size, become dense, and lose their normal structure. Cavities filled with detritus and caseous masses form in them. The tonsils are often covered with plaque.

The main symptoms of chronic parenchymal tonsillitis include:

  1. pain and discomfort in the throat when swallowing;

  2. hoarseness of voice;

  3. enlargement and tenderness of the cervical lymph nodes;

  4. temperature increase;

  5. general malaise.

Diagnosis is based on the clinical picture and examination data. Blood tests may be ordered to look for inflammation.

Treatment includes the prescription of antibiotics, anti-inflammatory, and painkillers. Sometimes surgical removal of the tonsils is required.

Timely comprehensive treatment is important to prevent complications and chronicity of the process. If conservative therapy is ineffective, surgical intervention is indicated.



Chronic parenchymal tonsillitis (T. chronicae parenchimatosae) is an inflammation that affects the paranasal glands (“adenoids”, “tonsils”). The very name of the disease is an anachronism (a commonly used Latinized local name), reflecting only its nature of the lesion. It arose between the first and second world wars under the influence of excessive enthusiasm for the scientific teaching of Latin among doctors and pharmacists. The chromatic imprint of the first Latin word was most likely given by N. A. Miron, a leading specialist in the field of ENT diseases of that time. The term does not correspond to reality, since it indicates only a focal or diffuse form of the disease, without at all touching on the nature of the inflammation and its cause (causative agent). The diagnosis must include