Clinical studies, chiefly about renal function, on 97 patients with chronic tonsillitis and tonsillar focal infection (articular rheumatism 8, acute nephritis 14, and chronic nephritis 5) were done.
Cardiac function was studied by electrocardiogram.
One mounth after the tonsillectomy, those renal and cardiac function were again examined.
The results were as follows:
(A) Impairment and recovery of the renal function
(I) Group A; 65 cases of chronic tonsillitis without complication
Renal function test on these caces showed impairment of RPF in 23 caces (35.4%), of GFR in 20 caces (30.8%) and of FF in 18 caces (27.7%).
(2) Group B; 5 caces of chronic tonsillitis with the history of nephritis
Number of renal impairment caces was 4 in RPF (80%), 3 in GFR (60%) and I in FF (20%).
Among those 66.6% and 66.6% showed recovery.3) Group C; 8 caces of chronic tonsillitls with articular rheumatism
Number of renal impairment caces was 4 in RPF (50%), 3 in GFR (37.5%) and 4 in FF (50%).
Among those 75%, 100% showed recovery respectively.
(4) Group D; 14 caces with acute nephritis
Number of renal impairment caces was 4 in RPF (28.6%), 12 in GFR (85.7%) and 11 in FF (78.6%).
Among those 50%, 91.7% and 90.8/ showed recovery respectively.
One mounth after tonsillectomy, most of them recovered from acute nephritis and their GFR was markedly increased.
(5) Group E; 5 caces with chronic nephritis
Thcse caces were in the compensated stage of chronic nephritis, therefore only 1 cace showed impairment and recovered after tonsillectomy.
But on the contrary, other caces which had normal function, showed following impairments after tonsillectomy; 2 caces in RPF, 1 cace in GFR and 3 caces in FF.
(B) Impairment and recovery of the cardiac function
Myocardial damage was demonstrated on electrocardiogram in 4 out of the 42 caces (9.4%). avated.
(C) Local and general symptoms
(1) From 80 to 100% of each gronp was a type of habitual tonsillitis.
(2) The findings of the palatine tonsils were as follows:
1) cryptic (burried), 2) abherent, 3) the surface was uneven, 4) superior tonaillar fossa was deep and filled with pus or plug, 5) local redness of anterior palatine arch, 6) swelling and pain, due to pressure of submaxillary lymph gland and 7) slight fever.
Such symptoms were far lighter in group A than in other groups.
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