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When Tonsillitis Is Contagious Tonsillitis is contagious when its caused by: Viruses (the most common cause) Bacteria, such as Streptococcus pyogenes (strep throat) These infections spread easily through: Coughing or sneezing Sharing drinks, utensils, or food Close personal contact (kissing, hand-to-mouth contact) When Tonsillitis Is Not Contagious Tonsillitis is not contagious when its caused by: Allergies Acid reflux (GERD) Chronic throat irritation Environmental factors like smoke or pollution Because symptoms can look very similar, its nearly impossible to tell the difference between viral and bacterial tonsillitis at home