Can you have a tonsil infection that doesn't fit the symptoms of tonsillitis?

Yes. I will mention at least one indication for tonsillectomy, where the typical symptoms of severe throat are not commonly present. That condition called hypertrophy (massive enlargement) of the tonsillar tissue is present and may lead to a sleep disorder. The enlargement may be due to asymptomatic bacterial infection where the bacteria cause lymphocyte division in the absence of pain.

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