Eleven yrars old boy who has enlarged tonsils and adenoids experience changes in temperature during diffrent times in a day. His temperature falls to 97.2 F at 2 a.m, improves to 98.4 F at 7.00 a.m, reaches 99.4F at 10.00 a.m and generally keep with in the range of 99.2 F to 99.9 F from 9.00 a.m to 9.00 p.m. The boy also suffers from thrombocytosis with platelet counts occasionally increasing upto 5,80,000. The temperature rarely come to the normal range of 98.6 F despite continued intake of antibiotics like cephalexin, ampoxiline, cloxamycetine etc. FNAC could not be possible as sufficient sample could not taken out of the deep rooted swollen lymph nodes at the base of tonsils on either side. Does the position explained above indicate any serious malignant disease or it is just due to infection of tonsils?

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