Sukhdeep Kaur Basur Senior Medical Officer, Department of Otolaryngologist (ENT Specialist), District Civil Hospital, Sector 6, Panchkula, Haryana, India
Snigdha Goyal Medical Officer, Department of Laboratory Medicine, Civil Hospital, Sector 6, Panchkula, Haryana, India
Abha Singla Medical Officer, Department of Otolaryngologist, District Civil Hospital, Sector 6, Panchkula, Haryana, India
Abhinav Garg DNB Resident, Department of Otolaryngologist, District Civil Hospital, Panchkula, Sector 6, Haryana, India
Address for correspondence: Sukhdeep Kaur Basur, Senior Medical Officer, Department of Otolaryngologist (ENT Specialist), District Civil Hospital, Sector 6, Panchkula, Haryana, India E-mail: basursukhdeep@gmail.com
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Sukhdeep Kaur Basur, Snigdha Goyal, Abha Singla et. al, Pseudomonas aeruginosa in an immunocompetent individual with Acute Tonsillitis; An uncommon finding: A Case Report. RFP J ENT Allied Sci 2025;. 10(2): 55–59.
Timeline
Received : August 18, 2025
Accepted : September 27, 2025
Published : December 25, 2025
Abstract
The tonsils, lymphoid tissue located in the throat, serve as the first line of immune defense against pathogens entering the oral cavity. Tonsillitis is a common presentation in ENT clinics, affecting both children and adults. Staphylococcus aureus and Streptococcus are the most frequently isolated bacteria from throat swab cultures in these cases. While Pseudomonas aeruginosa is not a rare pathogen in acute or chronic tonsillitis, its isolation from an immunocompetent individual with this condition is uncommon. This case report presents an unusual instance of Pseudomonas bacteremia in a 20-year-old healthy male with acute tonsillitis.
References
1. Oda Alquraishi, Z.H., Ameer Al-Kraety, I.A. and Alsadawi, A.A. (2019). Bacteriological Study of Pseudomonas aeruginosa Isolated from Tonsillitis Patients. International Journal of Drug Delivery Technology, 39 (3): 479-482.
2. Agrawal A, Kumar D, Goyal A, Gupta R, Bhooshan S. Bacteriological evaluation and their antibiotic sensitivity pattern in tonsillitis. IOSR J Dent Med Sci. 2014 Mar;13(3 Ver. V): 51-5.
3. Mahajan GD, Ingale M. Study of common bacterial isolates in acute tonsillitis in India. Indian J Basic Appl Med Res. 2017 Mar;6(2): 59-62.
4. Bukhari HQ, Madloul MH, Alorinan BI, Albarrak NK, Alotaibi WH, El-Sayed SAM. Prevalence study of acute tonsillitis among paediatrics age groups. Int J Med Rev Case Rep.
5. Amer OT, Hegazy RA, Sorour S, Abd-ElSayed CA. Correlation of Bacteriological & Pathological Profile of Chronic Tonsillitis in Children. Ann Int Med Dent Res. 2020;6(2):PE6.
6. Longanthan A, Arumainathan UD, Raman R. Comparative study of bacteriology in recurrent tonsillitis among children and adults. Singapore Med J. 2006;47(4):271-5.
7. Griffith SJ. The epidemiology of Pseudomonas aeruginosa virulence is combinatorial genome biology. Genome Biol. 2009;10(7): R90.
8. Gilligan PH. Microbiology of airway disease in patients with cystic fibrosis. Clin Microbiol Rev. 1991; 4:35-51.
9. Danielides V, Patrikakos G, Milions JH, et al. An unusual case of recurrent tonsillitis due to Pseudomonas aeruginosa. Acta Otorhinolaryngol Belg. 2001; 55:203-5.
10. Ahmad S, Alzahrani AJ, Alsaeed M. Uncommon association: Pseudomonas luteola bacteremia in an immunocompetent individual with acute tonsillitis. IDCases. 2023 Sep 4;34:e01891.
11. Bakir SH, Ali FA. Evaluation of multidrug resistance and ESBL, Amp C, Metallo β lactamase production in gram negative bacteria causing pharyngotonsillitis. Int J Res Pharm Biosci. 2015;2:8-17.
12. Dhanda V, Chaudhary P, Toor D, et al. Antimicrobial susceptibility pattern of betahemolytic group A, C and G streptococci isolated from North India. J Med Microbiol. 2013;62(Pt 3):386-93.
13. Bhuvanendran TU, Beena VG. Bacterial aetiology of Pharyngotonsillitis in Paediatric Age Group in a Tertiary Care Hospital in Kerala. J Evid Based Med Healthc. 2021 Sep 27;8(39):3441.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
About this article
Cite this article
Sukhdeep Kaur Basur, Snigdha Goyal, Abha Singla et. al, Pseudomonas aeruginosa in an immunocompetent individual with Acute Tonsillitis; An uncommon finding: A Case Report. RFP J ENT Allied Sci 2025;. 10(2): 55–59.
This license
enables reusers to distribute, remix, adapt, and build upon the material in any
medium or format for noncommercial purposes only, and only so long as
attribution is given to the creator.
This license
enables reusers to distribute, remix, adapt, and build upon the material in any
medium or format for noncommercial purposes only, and only so long as
attribution is given to the creator.