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Follicular tonsillitis usually begins with a temperature of 102 to 104 degrees, accompanied by chills and rigors, a full bounding pulse, throbbing headache, aching of the bones of the extremities and loss of appetite. The tonsillar symptoms do not become prominent until six to twelve hours later. Fulness is felt on deglutition, and a sensation as though a jagged foreign body was projecting from the tonsil; the anterior and posterior pillars and tonsil will be swollen, the follicles will be larger than normal and filled with a gray exudate and coagulated lymph.
At the end of twenty-four hours, the throat symptoms will be markedly exaggerated; the inflammation will have extended to the pharynx, and probably to the larynx; the soft palate will be edematous, the uvula elongated, and the feeling of fulness and stiffness of the muscles of the throat will be increased. There is dryness of the pharynx and
TAYLOR PR. FOLLICULAR OR CROUPOUS TONSILLITIS. JAMA. 1897;XXVIII(6):261. doi:10.1001/jama.1897.02440060021001g
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