Meaning of a black spot on tonsil

What does a black spot on a tonsil mean?

Anything outside normal is Abnormal

However, a normal or healthy tonsil is said to be a pair of lymphoid tissues found behind the throat and each of this tissue is covered by a pale pink mucosa with white spots.

And at this, any description outside this is themed unhealthy.

Hence, if the tonsils have black spots, it thus depicts a sick tonsil that has been infected with bacteria known as Corynebacterium diphtheria which is the cause of Diphtheria.

Diphtheria is an acute bacterium infection on the nose, throat, that spreads to the tonsil that gives rise to black spots


Diphtheria infection specifically affects the nose, throat, and skin and If not noticed and treated early, the infection thus spreads to the tonsil, and also invades other organs like the heart, nerves, and even to death.

This disease on the tonsil changes the color, therefore giving it the black spot representation.

How can you be infected?

You can be infected when an individual is exposed to;

I. Airborne droplets

One can easily be infected when an infected person sneezes, coughs, or wheeze into the air in an enclosed or congested place.

II. It can also be contracted when an uninfected person touches gadgets, furniture, beddings, and other tools handled by an infected person.

III. It can also be contracted by having personal contact with an infected injury.

Who is susceptible to this infection?

I. Individuals dwelling in an unsanitary environment

II. Person exposed to the pandemic or outbreak

III. Children who have not gotten an up-to-date vaccination.


The indications do not come up after 2- 5 days after being infected and these signs and symptoms are quite dependent on the species of bacteria and the site in the body infected.

I. An appearance of the greyish coat covering the throat and tonsils

II. Swollen nodes within the neck (bull neck)

III. Sore throat and hoarseness

IV. Nasal discharge

V. Problems with breathing

Prevention and Treatment

To prevent diphtheria, vaccination is a way out.

Well, Diphtheria is very common amongst juveniles, and antibiotics such as penicillin and erythromycin have always been a remedy but today, vaccination is now the go-to which is the DTap shot for children and Tdap shot for adults.

Diphtheria vaccine is a combination of 3- in – one vaccines consisting of diphtheria, tetanus, and whooping cough which is a common vaccine used in the USA as it is recommended for neonates and it’s given in shot administered in the arm or thigh and this has helped to curb diphtheria in developed countries.

Does it have side effects?

Side effects or complications are rare but in circumstances where there are side effects in children.

Reactions such as mild fever, fussiness, sleepiness, and weariness when administered the DTap shot.

When can you see a Doctor?

You can see a Doctor when you suspect any of these symptoms and also when you are not sure if your child was vaccinated or generally not sure of vaccination.