White masses at the tonsils are considered to be caused by bacterial infections. The inflammatory disease of acute purulent tonsillitis can appear as exudative white pseudomembranes on the surface of the tonsils due to the severity of the inflammation. And acute purulent tonsillitis, mostly caused by Streptococcus b infection, needs to be treated with sensitive antibiotics, and the preferred antibiotics are penicillins or cephalosporins. If the symptoms of sore throat are not severe, the above drugs can be treated by oral route. If the sore throat is severe with fever and difficulty in swallowing, it needs to be treated with penicillin or cephalosporin antibiotics, plus glucocorticoid intravenous infusion, and local gargling with mouthwash or light saline. Due to sore throat and difficulty in swallowing, it is necessary to eat an easily digestible, nutritious, light liquid or semi-liquid diet. The specific situation requires a visit to the otorhinolaryngology department, and after a clear diagnosis, treatment should be carried out according to the doctor’s prescription.