Wat P J, Strickler J G, Myers J L, Nordstrom M R
Division of Anatomic Pathology, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1994 Mar;69(3):269-71. doi: 10.1016/s0025-6196(12)61067-2.
To describe the clinical and pathologic features of acute herpetic tonsillitis and to compare the histologic findings with those of herpetic lymphadenitis.
We present a case report of a 22-year-old woman with bilateral cervical adenopathy, acute tonsillitis, and suspected peritonsillar abscess.
Histologic examination of the excised tonsils demonstrated discrete necrotic areas that contained cells with intranuclear viral inclusions.
The diagnosis of herpetic tonsillitis was confirmed by demonstrating herpes simplex virus (HSV)-infected cells on paraffin section immunostains and by positive HSV cultures of the tonsillar tissue.
HSV infection is an uncommon cause of acute tonsillitis; the histologic findings are similar to those seen in herpes simplex lymphadenitis.
描述急性疱疹性扁桃体炎的临床和病理特征，并将组织学 findings 与疱疹性淋巴结炎的 findings 进行比较。
我们报告一例 22 岁女性，患有双侧颈淋巴结病、急性扁桃体炎及疑似扁桃体周围脓肿。
对切除的扁桃体进行组织学检查，发现离散的坏死区域，其中含有核内病毒包涵体的细胞。
通过石蜡切片免疫染色显示单纯疱疹病毒（HSV）感染细胞以及扁桃体组织 HSV 培养阳性，确诊为疱疹性扁桃体炎。
HSV 感染是急性扁桃体炎的罕见病因；组织学 findings 与单纯疱疹性淋巴结炎所见相似。
