What is the Difference Between Tonsillitis and Glandular Fever?

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Tonsillitis and glandular fever are both throat infections, but they have different causes and symptoms.

Tonsillitis is the inflammation of the tonsils, which are located at the back of the throat. It is usually caused by a viral or bacterial infection. Key features of tonsillitis include:

  • Sore throat
  • Difficulty swallowing
  • Fever
  • Earache
  • Tender and enlarged lymph nodes

Treatment for tonsillitis often involves pain relief, such as paracetamol, and antibiotics may be prescribed if a bacterial infection is suspected.

Glandular fever, also known as infectious mononucleosis, is a viral infection caused by the Epstein-Barr virus. Symptoms of glandular fever include:

  • Severe and prolonged tonsillitis
  • Painful swallowing and saliva pooling in the mouth
  • Swollen, tender neck glands
  • Flu-like symptoms, such as high temperature, muscle aches, and headaches
  • Intense tiredness, which can last for more than six months after the infection
  • Swelling around the eyes

Glandular fever is a self-limiting illness, meaning it usually resolves on its own without specific treatment. Bed rest and good sleep can help expedite recovery. Antibiotics are not used to treat glandular fever, as they are ineffective against the virus that causes it.

In summary, tonsillitis is an inflammation of the tonsils caused by a viral or bacterial infection, while glandular fever is a viral infection caused by the Epstein-Barr virus. The main difference between the two is their cause and the severity of symptoms. Tonsillitis typically resolves within a few days, while glandular fever symptoms can last for a longer period.

Comparative Table: Tonsillitis vs Glandular Fever

Here is a table comparing the differences between tonsillitis and glandular fever:

Feature Tonsillitis Glandular Fever
Definition Inflammation of tonsils secondary to an infection. A febrile illness caused primarily by the Epstein-Barr virus (EBV).
Cause Bacterial or viral infection. Caused by the Epstein-Barr virus (EBV).
Symptoms Sore throat, difficulty in swallowing, fever, earache, tender and enlarged lymph nodes, malaise, fatigue, and loss of appetite. Fever, headache, malaise, sore throat, petechial hemorrhages in the palate, and cervical lymphadenopathy.
Age Range Can affect people of all ages. Most cases affect teenagers and young adults between 15-24 years of age.
Duration Symptoms may last 2-4 weeks. Symptoms usually last 2-3 weeks, but fatigue may persist for several months.
Treatment Analgesics such as paracetamol can relieve pain. Treatment primarily involves rest and supportive care, as the illness is viral.
Complications Rare, but may include abscesses or obstructive sleep apnea. A minority of people (up to 10%) have persistent fatigue that may last several months.
Prevalence Tonsillitis is relatively common. Glandular fever is less common, primarily affecting teenagers and young adults.

In summary, tonsillitis is an inflammation of the tonsils caused by an infection, while glandular fever is a febrile illness primarily caused by the Epstein-Barr virus. The symptoms of tonsillitis tend to be related to the throat, while glandular fever has a broader range of symptoms, including fever, malaise, and fatigue. Glandular fever usually lasts for 2-3 weeks, with fatigue potentially persisting for several months in some cases.