Infectious mononucleosis is a self-limiting
lymphoproliferative disorder, which contribute to the development of the various clinical symptoms. Exudative
tonsillitis was found to be caused by Epstein-Barr virus in 19% of all
viral infections and may imitate a bacterial etiology. The aim of this study was to identify the microbes from the nasopharyngeal swabs obtained from the patients with exudative
tonsillitis and to assess their susceptibility to
antibiotics. The patients were hospitalized as an
infectious mononucleosis after unsuccessful
antibiotic therapy. 84 patients were investigated: group I--patients with serological positive
infectious mononucleosis tests and group II--patients with acute exudative
tonsillitis and with serologically excluded
infectious mononucleosis. The diagnosis was confirmed clinically, haematologically, biochemically and serologically. Nasopharyngeal specimens were taken, once, at the first day of hospitalization. Then, routine microbiological assays were performed. Isolated strains were identified biochemically: API Strep, API Staph, API E, API Ne, APINH (bioMerieux). The susceptibility to
antibiotics with an
agar diffusion assay was performed according to Kirby-Bauer. We concluded that various, potentially pathogenic bacterial flora was found in throat during
infectious mononucleosis. Haemophilus spp. and Staphylococcus aureus MSSA were isolated more frequently. Haemophilus influence was susceptible to
cefotaxime and azytromycine. Candida albicans was isolated in every fourth patient. Streptococcus pyogenes as an etiological agent of exudative
tonsillitis was confirmed in the group II. The pharyngeal candidiosis was also observed more frequently in the group II.