Infective

Sore throat, dysphagia, referred pain to ear, headache, malaise. A history of oral sex may suggest oropharyngeal gonorrhoea. Quinsy is a peritonsillar abscess. There is usually a history of acute tonsillitis but the patient becomes more ill with a high temperature, dysphagia and referred pain to the ear. In glandular fever, the patient can present with a severe membranous tonsillitis but usually has malaise and lymphadenopathy elsewhere.