Tonsil inflammation with white pus spots is mostly caused by acute tonsillitis, but may also be caused by tonsil stones, tonsil keratosis or even some systemic diseases. 1. Acute tonsillitis: the body’s systemic or local resistance to decline, can lead to acute tonsillitis, the main causative organism for the B hemolytic streptococcus infection, the beginning of the tonsil surface white pus, or in the cryptic fossa mouth of the yellow-white or grayish-white, dotted pea-like exudate, aggravation of the pus can be fused into a piece, forming a piece of the pseudomembrane. The main manifestations are generalized fever, headache, sore throat and other symptoms. 2. Chronic tonsillitis: repeated episodes of acute tonsillitis can lead to the occurrence of this disease, there are a lot of bean curd-like pus plugs accumulating at the mouth of the crypt, resulting in bad breath, and in severe cases, the pus plugs are swallowed and cause digestive disorders. 3. Tonsillar keratosis: also known as tonsil stones, occurs in tonsillopharyngeal keratosis, mostly due to fungal infection, inflammation caused by hyperkeratosis, white spots in the pharynx, accompanied by pharyngeal dryness, foreign body sensation, itching and other symptoms. 4. It should be noted that some systemic diseases can also cause inflammation of tonsils with white pus spots, such as scarlet fever, mononucleosis, leukemia and so on. Tonsillar inflammation with white pus spots, should be timely to the regular hospital otolaryngology outpatient clinic, under the guidance of the doctor for treatment, do not self-diagnosis of medication, so as not to delay the condition, resulting in serious adverse consequences.