Tonsillitis or inflammation of the tonsils is a common disease and accounts for about 1.3% of outpatient visits. Tonsillitis is mostly caused by by viral infection or bacteria, can cause manifestations such as sore throat in mild cases. Acute tonsillitis is a clinical diagnosis, distinguishing between bacterial and viral causes can be difficult, but it is important For prevent use antibiotics in a way excessive. 1 A studies in Saudi Arabia showed that males suffered more from tonsillitis than females (n = 208, 60% and n = 140, 40%, respectively). The most frequently isolated bacteria were Streptococcus pyogenes beta-hemolytic group A , Staphylococcus aureus, S. aureus Which resistant to methicillin, And Klebsiella pneumoniae (n = 68, 19.5%; n = 24, 6.9%; n = 12, 3.4%; And n = 12, 3.4%, consecutively). 2 Studies on group children, obtained tonsillitis most found in the group age pre teenager (6-12 year) that is 69% followed group teenager (13-18 years) 18%, children (4-5 years) 17%. Tonsillitis distribution is more in male patients (58%) than female patients (42%). Culture and sensitivity results showed that the dominant bacteria found were β-hemolytic Streptococci (51.4%), followed by coagulase positive Staphylococci (12.5%) and Pneumococci (9.7%) and only one case of Corynebacterium diphtheria was found . 3