[1].Enlarged jugulodigastric lymph nodes are also commonly found in tonsillitis.

Hyperaemia or hyperemia describes the increase of blood flow to different tissue s in the body. It can have medical implications, but is also a regulatory respon se, allowing change in blood supply to different tissues through vasodilation. C linically, hyperaemia in tissues manifest as erythema, because of the engorgemen t of vessels with oxygenated blood.[1] Hyperaemia can also occur due to a fall i n atmospheric pressure outside the body. Peritonsillar abscess is a complication of tonsillitis. It is most often caused by a type of bacteria called group A beta-hemolytic streptococcus. Peritonsillar abscess is usually a disease of older children, adolescents, and y oung adults. It has become uncommon with the use of antibiotics to treat tonsill itis. Infectious mononucleosis occurs with infection by the Epstein Barr virus.[15] [16] The infection is spread via saliva, and has an incubation period of four to seve n weeks.[17] Symptoms usually persist for two to three weeks,[18] but fatigue is often more prolonged.[4] most contagious period is thought to last about six weeks after the onset of sym ptoms. Some studies indicate a person can spread the infection for many months a fter the symptoms are completely gone, with one particular study indicating as l ong as 18 months.[19] The virus replicates first within epithelial cells in the pharynx (which causes pharyngitis, or sore throat), and later primarily within B cells (which are inva ded via their CD21). The host immune response involves cytotoxic (CD8-positive) T cells against infected B lymphocytes, resulting in enlarged, atypical lymphocy tes (Downey cells).[20][21] When the infection is acute (recent onset, instead of chronic), heterophile anti bodies are produced.[11]