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Complications of tonsillitis Tonsillitis can sometimes lead to complications, including: middle ear infections an abscess on or around your tonsils this is called a quinsy problems with breathing - if your tonsils are so big that that they restrict your airways, or you have a quinsy inflammation of your sinuses (sinusitis) a lung infection, such as bronchitis or pneumonia inflammation of your kidneys (acute glomerulonephritis) a fever with painful, swollen or stiff joints (rheumatic fever) a rash, which may develop if you have a group A beta haemolytic Streptococcus bacterial infection (scarlet fever) infection of your blood (septicaemia) Causes of tonsillitis There are many viruses and bacteria that cause tonsillitis