A patient was a boy, aged 8 years, was admitted to hospital with complaints Achmad Mochtar Bukittinggi swallowing pain since 1 week ago. Initially the pain is felt since 9 months ago, intermittent pain. History snore during sleep there, wake up at night because of shortness of breath there, the patient experienced since 9 months ago. History of cough and cold there, approximately 8x in the last 9 months. No history of fever, often more or less frequency 8x in the last 9 months pilek.Riwayat accompanied by cough and ear pain when the patient's left there is fever with a cough and runny nose. History consume ice snacks and snack almost every day disekolahanOn physical examination found the pouch of rice right and left there is a small amount of serous secretions. In the oropharynx and oral examination found the soft palate and tonsils symmetrical dekstra the left tonsil size of T3 and T4 with an uneven surface, estuaries kripti widened, and with detritus and adhesions with pillars on the left tonsil. Caries in pre-molar 2 on the left. On examination of the cervical lymph nodes palpable mass round as much as 1 piece, size 1x1x1 cm, chewy consistency, and mobile.This patient was diagnosed as chronic tonsillitis work with an additional diagnosis of dental caries. Examination conducted suggestion is routine laboratory (hemoglobin, hematocrit, leukocytes, LED, PT / APTT). Therapy was administered to this patient is tonsillectomy. Prognosis in this case is bonam. The advice given to the patient is the patient maintain oral hygiene by brushing your teeth at least 2x a day. In addition, patients have to eat snacks (snacks and cold drinks or ice cream) outside the home, food hygiene at home.Follow Up:Tuesday, February 17th, 2015S / Pain swallowing (+)Fever (-)Cough (-)Colds (-)O / KU: looks ill beingAwareness: CMCBP: 110/70 mmHgNadi: 90x / minBreath: 20x / minTemperature: 370 C

Status generalistEyes: conjunctival pallor - / -, sclera jaundice - / -Neck: There lymphadenopathy under the left mandibleThoracic: Cast and Pulmo within normal limitsAbdomen: within normal limitsExtremities: akral warm, good perfusion

Status localistEar: ear canal is quite roomy / airy, intact tympanic membrane / intact, pearl white color, light reflex + / +Nose: quite roomy vestibule, the inferior turbinate eutrofi / eutrofi pink, secretions + / + serousOropharynx and oral: symmetrical mole palate, uvula in the middle, tonsil size of T3-T4, uneven surfaces, kripti estuary widens, there detritus, adhesions with no pillars, caries in pre-molar 2 on the leftLaboratory results (February 17, 2015)Hb: 12.8 g / dLHt: 34%Leukocytes: 20 370 / mm3Platelets: 513,000 / mm3Diff Count: 0/12/1/55/30/2PT: 9.3 sAPTT: 36.9 s

Therapy: Ceftriaxone 1 x 500mgMetylprednisolone 3 x tab tabMouthwash containing disinfectantPlan: TonsillectomyWednesday, February 18th, 2015S / Pain swallowing (+)Fever (-)Cough (-)Colds (-)O / KU: looks ill beingAwareness: CMCBP: 110/70 mmHgNadi: 90x / minBreath: 20x / minTemperature: 37 CStatus generalistEyes: conjunctival pallor - / -, sclera jaundice - / -Neck: There lymphadenopathy under the left mandibleThoracic: Cast and Pulmo within normal limitsAbdomen: within normal limitsExtremities: akral warm, good perfusionStatus localistEar: ear canal is quite roomy / airy, intact tympanic membrane / intact, pearl white color, light reflex + / +Nose: quite roomy vestibule, the inferior turbinate eutrofi / eutrofi pink, secretions + / + serousOropharynx and oral: symmetrical mole palate, uvula in the middle, tonsil size of T3-T4, uneven surfaces, kripti estuary widens, there detritus, adhesions with no pillars, caries in pre-molar 2 on the leftTherapy: Ceftriaxone 1 x 500mg (i.v)Metylprednisolone 3 x 4mg tabMouthwash containing disinfectantPlan: TonsillectomyIt has been reported one case of a boy aged 8tahun that in diagnosis with chronic tonsillitis. The diagnosis of chronic tonsillitis can be enforced based on history, clinical symptoms, and investigations. In these patients complained of pain swallowing history since 1 week ago. Swallowing pain has been felt since 9 months ago, but intermittent. History snore during sleep there, wake up at night because of shortness of breath there, the patient experienced since 9 months ago. History of cough and cold there, approximately 8x in the last 9 months. No history of fever, often more or less frequency 8x in the last 9 months accompanied by cough and colds. History pain left ear there is currently a febrile patient with a cough and runny nose. History consume ice snacks and snack almost every day disekolahan.Based on the literature, it is known that the etiology of chronic tonsillitis is a gram-positive bacteria, but can also be caused by gram-negative bacteria. The patient was admitted often fever with cough and coldsOn physical examination found the pouch of rice right and left there is a small amount of serous secretions. In the oropharynx and oral examination found the soft palate and tonsils symmetrical dekstra the left tonsil size of T3 and T4 with an uneven surface, estuaries kripti widened, and with detritus or adhesions with pillars on the left tonsil. Caries in pre-molar 2 on the left. On examination of the cervical lymph nodes palpable mass round as much as 1 piece, size 1x1x1 cm, chewy consistency, and mobile.This patient was diagnosed as chronic tonsillitis work with an additional diagnosis of dental caries. Examination conducted suggestion is routine laboratory (hemoglobin, hematocrit, leukocytes, LED, PT / APTT). Therapy was administered to this patient is tonsillectomy. Prognosis in this case is an ad dubia bonam. The advice given to the patient is the patient maintain oral hygiene by brushing your teeth at least 2x a day. In addition, patients have to eat snacks (snacks and cold drinks or ice cream) outside the home, and the hygiene of food at home.