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How To Tell The Difference Between Tonsillitis And Throat Cancer - Tonsillitis Healthdirect : On the other hand, streptococcal sore. . Firstly, strep throat is a bacterial infection caused by group a streptococcus, while tonsillitis may either be caused by a viral or a bacterial infection. So, how can you tell whether you have tonsil stones or more serious tonsillitis? Rapid antigen testing has a very low sensitivity in the diagnosis of bacterial tonsillitis and swabs are highly sensitive but take a long time. Those are very different entities! Because tonsillitis and strep throat are so similar, it can be difficult to tell them apart. One key difference is that tonsillitis involves inflammation this article covers the similarities and differences between tonsillitis and strep throat, as well as what to do if either of these illnesses develop. The bacterial kind of tonsillitis usually affects kids between 5 and 15 years old. What's the difference between and. Rea...