Inflammation of the tonsils may cause an increase in leukocytes, especially in acute tonsillitis. Leukocyte increase includes physiologic increase and pathologic increase: 1. Physiological increase of leukocytes can be seen in strenuous exercise, physical labor, during menstruation, ovulation, emotional stress, hunger, hypoglycemia and so on. However, the physiological increase in white blood cell count is temporary, and the removal of influencing factors will soon return to normal; 2. Pathological increase of white blood cells (1) various infections, can be systemic or localized infections, bacterial, viral infections can be. For example, acute tonsillitis, purulent inflammation of the skin, sepsis; 2) Pulmonary infectious diseases, such as rheumatoid arthritis, vasculitis, rheumatic fever; 3) hematological diseases:, acute granulocytic leukemia, acute granulomonocytic leukemia, multiple myeloma, and other patients with markedly increased leukocytes, etc; (4) Tissue necrosis, malignant tumors, acute blood loss, drug poisoning can also cause leukocytosis. Tonsillitis is divided into acute and chronic, acute tonsillitis, mainly caused by B hemolytic streptococcus infection. Non-hemolytic streptococcus, staphylococcus, streptococcus pneumoniae, influenza bacillus and adenovirus can also cause this disease. The manifestations are chills and high fever, sore throat, etc. The total number of blood leukocytes is elevated and neutrophils are increased. Inflammation of tonsils should actively seek medical treatment, and the diagnosis should be clarified after systematic examination.