Tonsillar inflammation blood routine may be abnormal, such as bacterial causes often seen in the white blood cells increased, neutrophils increased; viral causes can be seen in the lymphocytes increased. Tonsillitis is often caused by bacteria such as Streptococcus B hemolyticus and Staphylococcus, and viruses such as adenovirus and rhinovirus can also cause acute cicatricial tonsillitis. If the tonsillitis is caused by bacteria, the blood routine is commonly elevated white blood cells, neutrophil count and proportion can be increased, increased erythrocyte sedimentation rate, which can be manifested as severe sore throat, examination can be seen bilateral palatal arches, tonsils are congested, enlarged, and there can be pus spots on the surface. It may be accompanied by high fever, chills, malaise and other systemic reactions. Virus-induced tonsillitis is generally less severe in systemic and local symptoms, and routine blood tests show elevated lymphocytes or no obvious changes.