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Year : 1999  |  Volume : 17  |  Issue : 4  |  Page : 173-176

Tonsillar Core microflora : a true indicator of chronic tonsillitis


Department of otorhinolaryngology, University College of Medical Sciences & G.T.B. Hospital Delhi

Correspondence Address:
L Vaid
Department of otorhinolaryngology, University College of Medical Sciences & G.T.B. Hospital Delhi

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Source of Support: None, Conflict of Interest: None


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ABSTRACT: The microbial flora of 60 patients with chronic tonsillitis undergoing tonsillectomy were studied to determine the correlation between surface swab culture and tonsillar core culture. The surface swab culture which was collected immediately before surgery and the operated specimen of tonsil (tonsillar core), both were subjected for microbiological investigations. In 40 percent of cases pathogens were isolated both by surface and core cultures. The largest group that is in 48.3 percent, pathogens were isolated by the core culture but not by the surface culture, thus surface culture did not reliably reflect the core pathogens leading to a misdiagnosis of the aetiological agent. Staphylococcus aureus and group A beta haemolytic Streptococci were the predominant aerobes isolated both on surface and core cultures. Bacteroides spp. (four isolate), Fusobacterium spp. (one isolate) and Peptostreptococcus spp. (two isolates) were the anaerobes isolated only form core culture. Characterisation of the anaerobic isolates were done by restriction fragment length polymorphism (RFLP). The study highlights the discrepancies between surface swab culture and tonsillar core culture. Therefore the rationale of treatment of chronic tonsillitis should be directed at micro-organisms isolated by core cultures.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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