Patients with Coxsackie B4 virus have seemed to have herpangina, tonsillitis, and pharyngitis. Inflammation of the tonsils is called tonsillitis and removal is called tonsillectomy. Tonsillectomy is mainly undertaken for sleep apnea and recurrent or chronic tonsillitis. The palatine tonsils can become enlarged (adenotonsillar hyperplasia) or inflamed (tonsillitis). A combination of conjunctivitis and tonsillitis is particularly common with adenovirus infections. Acute tonsillitis is the most common manifestation of tonsillar disease. Children have had only a modest benefit from tonsillectomy for chronic cases of tonsillitis. Non-invasive disease manifestations include predominantly tonsillitis and superficial skin infections. In children with frequent episodes of tonsillitis, tonsillectomy modestly decreases the risk of future episodes. Additionally, it is also used for treating sore throats and tonsillitis. She was small as a child and suffered poor health with chronic tonsillitis. When not mineralized, the presence of debris is known as chronic caseous tonsillitis (CCT). OSA and recurrent tonsillitis (RT) are different in their mechanism and outcome. The diagnosis of tonsillitis is often made without testing for bacteria. Wigan were without their top scorer Nick Powell who was suffering from tonsillitis.