was unable to swallow and any attempt at swallowing even water was followed by ejaculation through th" nostrils. She had a rise of temperature since the star of the pain. On examination the patient could hardly open hpl mouth and examination of throat, done with muCj| difficulty, revealed both tonsils inflamed and enlarge^ to such an extent as to overlap each other causing occlusion of the thro...

OBJECTIVES To determine the prevalence of obstructive adenotonsillar hypertrophy in children and adolescents with sickle cell anemia; to investigate possible association between the presence of more than five episodes of tonsillitis in the last 12 months and episodes of painful crises in the same period; and to compare the mean annual hemoglobin level in children and adolescents with and withou...

Dear Editor Study done by Bista et al in their article entitled “Tonsillar microbial flora: A comparison of infected and non-infected tonsils” published in Kathmandu University Medical Journal 2006, volume 4, number 1, issue 13 is outstanding. However we want to add certain points which need to consider in establishing causative organism and treating patients with tonsillitis with some healthy ...