Brief Answer: Could be a chronic/recurrent tonsilitis Detailed Answer: Hello, Thanks for posting on XXXXXXX Sorry for your daughter's troubles. It is possible that with the recurrence of the same symptoms in her throat, it is possible that she might be having recurrent or chronic tonsilitis. This means that even with the use of antibiotics, the symptoms might come back. Most at times, the only definitive solution is a surgery to remove her tonsils. But to me, I always prefer to place the patient on a long course of antibiotics, say 15-20 days associated to steroid antiinflammatory, then observe. If it occurs again, I place her on another class of antibiotics (in most of my patients, symptoms do resolve completely) and with recurrence, I may then perform a simple surgery to remove tonsils so as to cure this permanently. I suggest, you daughter be place on appropriate antibiotics with steroid antibiotics, then observed for sometime. She needs to also practice mouth hygiene and avoid close contacts with people. With cases like this, most of the patients, usually are immunodeficient. She should get tested for her natural immune status. In most cases, there is hardly an explanation for this decreased immune state but her pediatrician, should be able to discuss all the possibilities with you. Hope that this helps and wish you the best. Dr. Nsah

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