MEDizzy - A 16-year-old stertorous with tonsillitis, Paul-Bunnel test

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Combined Surgery VI

A 16-year-old stertorous with tonsillitis, Paul-Bunnel test positive, fails to improve with intravenous fluids, antibiotics and analgesia. Choose the most appropriate management for clinical scenario that follow

ExplanationA. Stertor is the sound made by upper airway obstruction at a level above the larynx. The Epstein–Barr virus can cause tonsillitis, often presenting with a grey or white film over the tonsils. The tonsils can be enlarged sufficiently to threaten the airway. If they fail to respond to antibiotics, a short course of steroids should be given.