Pediatrics Medical News about JIA;recurrent tonsillitis;tonsillectomy

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Recurrent tonsillitis and tonsillectomy in juvenile idiopathic arthritis
Scandinavian Journal of Rheumatology , 07/13/09

Astrauskiene D et al. – The increased rate of Staphylococcus aureus in the core tissue of tonsils, higher frequency of tonsillar detritus, more pronounced paratonsillar scarring, and more intensive bleeding during tonsillectomy, associated with the lower frequency of tonsillitis recurrences, are characteristic for recurrent tonsillitis in juvenile idiopathic arthritis (JIA) vs recurrent tonsillitis without arthritis.

Methods

A comparison of the clinical and bacteriological features of recurrent tonsillitis between pts with and w/o JIA
122 participants, aged 2-18 yrs, were consecutively recruited into 4 groups:
1. JIA and recurrent tonsillitis
2. JIA
3. Recurrent tonsillitis; and
4. Healthy controls
All pts with recurrent tonsillitis underwent tonsillectomy
Swabs from tonsillar surface crypts and samples from tonsillar core tissue in case of tonsillectomy were processed for culturing
Mycoplasma pneumoniae was determined by PCR

Results

Lower rates of recurrences but more frequent tonsillar detritus, paratonsillar scars, and more intensive bleeding during tonsillectomy were found in JIA pts with recurrent tonsillitis, vs pts with recurrent tonsillitis w/o arthritis
In JIA pts with recurrent tonsillitis, Staphylococcus aureus was cultured from the tonsillar surface in 36%, and from the core tissue in 92% of cases
In pts suffering from recurrent tonsillitis alone, this pathogen was cultured from the core in 55.9% of cases
No M. pneumoniae was revealed by PCR in samples from the tonsillar surface and the core tissue

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