Tonsilloliths have an abnormal consistency, pasty appearance, and whitish color, associated with damage caused by tuberculosis. This is the central part of the lesions in which cells gradually die during the primary infection (the stage where bacillus penetrates into the body) and the tubercle bacilli, the name of the bacteria involved in tuberculosis, are very numerous in tonsilloliths. After a few months, the tonsillolith solidifies, and the bacilli remain latent. If tuberculosis develops again, which is the case about 10% of the time, the bacilli multiply again, the tonsillolith melts and gives way to a tuberculous cavity, a hollow where TB germs are present. This cavity is visible especially in the lungs in the form of a rounded lesion on the chest radiograph.