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It can also lead to a skin rash (for example, scarlet fever), sinusitis, pneumonia, and ear infections.

Acute mononucleosis is caused by the Epstein-Barr virus, and can lead to a very severe throat infection characterized by the rapid enlargement of the tonsils, adenoids, and lymph nodes of the neck. The sore throat and gland swelling can last for one week to a month and does not respond to the usually prescribed antibiotics.

Frequently, small, foul smelling stones are found within these crypts.

Although strep throat will usually go away even without treatment, an untreated strep infection can lead to complications including rheumatic fever, which can permanently damage the heart.However, this function may only be important during the first year of life.There is no evidence to support a significant role of the tonsils and adenoids in immunity.If left untreated, the infection can spread deep in the neck causing life-threatening complications and airway obstruction.Obstruction to breathing by enlarged tonsils and adenoids may cause snoring and disturbed sleep patterns that may lead to sleep pauses or sleep apnea.

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