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peritonsillar abscess

Matthew R Klein
This article reviews the presentation, diagnosis, and management of common and "can't miss" infections of the oropharynx, including streptococcal pharyngitis, infectious mononucleosis, peritonsillar abscess, retropharyngeal abscess, and epiglottitis.
February 2019: Emergency Medicine Clinics of North America
Cedric Piroulas, Louise Devillers, Cecile Souty, Jonathan Sicsic, Philippe Boisnault, Mathilde François
Background: The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. Objective: To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. Method: A retrospective cohort study using Observatory of General Medicine Datalink from 1995 to 2010. All patients consulting a GP from the Datalink network for pharyngitis have been included...
November 12, 2018: Family Practice
Robert D Simard, Steve Socransky, Jordan Chenkin
BACKGROUND: Parapharyngeal space abscesses (PPSA) are deep-space neck infections that are associated with significant morbidity and, rarely, mortality if not promptly diagnosed and treated. The diagnosis is often difficult, as the clinical presentation can mimic peritonsillar abscesses (PTA). Transoral point-of-care ultrasound (POCUS) may be a useful tool to help distinguish PTAs from other deep-space infections such as PPSAs. CASE REPORT: A woman presented to the Emergency Department (ED) with fever, sore throat, trismus, and unilateral tonsillar swelling from a walk-in clinic with a preliminary diagnosis of PTA for drainage...
October 31, 2018: Journal of Emergency Medicine
Jonathan Fishman, Edward Fisher, Musheer Hussain
No abstract text is available yet for this article.
October 2018: Journal of Laryngology and Otology
Shori Tajima, Takashi Anzai, Rina Matsuoka, Hiroko Okada, Takuma Ide, Mitsuhisa Fujimaki, Shota Kaya, Shin Ito, Katsuhisa Ikeda
Deep neck abscess is a life-threatening infection that causes laryngeal edema and upper airway occlusion. The predominant bacterial species involved in this disorder is group A streptococcus. Group G streptococcus (GGS) constitutes the normal commensal flora of the human upper airway. Although rarely, it can cause pharyngitis, tonsillitis, and peritonsillar abscess. Here, we report a case of a woman with parapharyngeal abscess caused by GGS. A 56-year-old woman presented to the emergency department with complaints of sore throat and cervical swelling, and a diagnosis of parapharyngeal abscess was established...
2018: Case Reports in Otolaryngology
Vishnu Parthasarathy, Brian Snyder, Robert Saddawi-Konefka
BACKGROUND: In the winter months, one often sees a large increase in the volume of patients presenting to emergency departments with acute pharyngitis. While most cases of acute pharyngitis are benign, a rare minority can be life threatening. CASE REPORT: We report a case of epiglottis with a concomitant peritonsillar abscess (PTA) in an adult who presented to the emergency department with a sore throat. Computed tomography (CT) scan showed epiglottitis with a developing left PTA...
October 17, 2018: Journal of Emergency Medicine
S Ahmed Ali, Kevin J Kovatch, Josh Smith, Emily L Bellile, John E Hanks, Carl M Truesdale, Paul T Hoff
OBJECTIVE: To determine the incidence of intratonsillar abscess (ITA) patients within the population of patients diagnosed with peritonsillar abscess (PTA) and to further characterize the differences in symptomatology and successful treatment strategies between the two groups. METHODS: This study is a retrospective chart review of patients diagnosed with PTA or ITA at our institution from 2000 to 2017. Descriptive and inferential statistics are reported, including univariate and multivariate analyses...
November 2018: International Journal of Pediatric Otorhinolaryngology
Catriona M Douglas, Ursula Altmyer, Laura Cottom, David Young, Penelope Redding, Louise J Clark
AIM: (a) To report national trends for tonsillectomy, tonsillitis, peritonsillar abscess and deep neck space infection in secondary care. (b) To report national trends in sore throat consultations in primary care. (c) To report national trends in antibiotic prescribing in both primary and secondary care between 2011 and 2015. DESIGN: Retrospective nationwide cohort study. Data requested from Information Statistics Department (ISD) Scotland for tonsillectomy, tonsillitis admissions, peritonsillar abscess admissions and deep neck space infection (DNSI) admissions in Scotland, between 1993/94 and 2015/16...
September 27, 2018: Clinical Otolaryngology
D Schwarz, P Wolber, M Balk, J C Luers
OBJECTIVE: Smoking is purported to increase the risk of peritonsillar abscess formation, but prospective data are needed to confirm this hypothesis. This prospective study aimed to identify this correlation. METHODS: Fifty-four patients with peritonsillar abscess were prospectively asked about their smoking behaviour using a questionnaire that was designed and approved by the Robert Koch Institute (Berlin, Germany) to analyse smoking behaviour in epidemiological studies...
October 2018: Journal of Laryngology and Otology
Tobias Todsen, Mads Georg Stage, Christoffer Holst Hahn
Peritonsillar abscess (PTA) is a common complication to acute tonsillitis. The treatment is drainage of the abscess, but many needle aspirations are unsuccessful due to a low diagnostic accuracy based on oral examination only. In this article, we describe how intraoral ultrasound can be added to improve the diagnostic work-up of PTA and present a novel technique for ultrasound-guided aspiration of PTA, using a small pencil-shaped transducer. We present our first clinical experiences with this technique and describe how it could be integrated in a clinical setting to guide safe and successful needle aspirations of PTA...
August 2, 2018: Diagnostics
Alex Battaglia
No abstract text is available yet for this article.
August 2018: Otolaryngology—Head and Neck Surgery
Selçuk Yüksel, Deniz Gül Zorlu, Bayram Özhan
An 11-year-old boy was admitted with mildly painful swallowing. His parents mentioned he had had bad breath for 4 months. He had presented with the same complaint several times at medical centres, and some antibiotics and analgesics were given. During examination, bad breath (halitosis) was noted (figure 1). There was no cervical and submandibular lymphadenopathy and fever. edpract;archdischild-2018-315509v1/F1F1F1Figure 1Oropharyngeal examination on admission. QUESTIONS: What do you see on oropharyngeal examination?What is the most likely diagnosis?Tonsillitis with exudate...
July 31, 2018: Archives of Disease in Childhood. Education and Practice Edition
Tyler R Schwartz, Miranda D Colletta, Michael E McCormick
The disease of parapharyngeal abscess is well known to the otolaryngologist and is commonly managed via transoral, transcervical, or combined incision and drainage. We report a novel approach to an abscess that was drained through the external auditory canal (EAC). An otherwise healthy 2-year-old female presented with a 4-day history of fevers, decreased oral intake, neck stiffness, and voice changes. CT neck with contrast revealed a deep abscess in the left neck extending from the peritonsillar space into the parapharyngeal space in close proximity to the anterior aspect of the EAC...
September 2018: International Journal of Pediatric Otorhinolaryngology
James Thomas Connell, Jae Hong Park
We report the case of a 14-year-old man with unilateral peritonsillar swelling, airway compromise and fever. On physical examination, the patient was pyrexic with trismus, dysphonia, uvula deviation, exudative unilateral peritonsillar swelling and unilateral cervical lymphadenopathy. Attempts at aspirating the prominent peritonsillar region were unsuccessful. CT head and neck identified a large inflammatory mass arising from the left palatine tonsil. The patient was treated for presumptive peritonsillar abscess...
July 24, 2018: BMJ Case Reports
Christoph Spiekermann, Johannes Roth, Thomas Vogl, Markus Stenner, Claudia Rudack
Peritonsillar inflammation is a common characteristic of both peritonsillar abscess (PTA) and peritonsillitis (PC). The aim of the present study was to apply the PTA score as an objective criterion to identify patients with peritonsillar inflammation (PI) who might profit from medical treatment. Hence, the recently developed PTA score was applied retrospectively on patients suffering from acute tonsillitis, peritonsillitis, and peritonsillar abscess. Analysis of the clinical data, the follow-up, and the initial PTA score was performed...
2018: Disease Markers
João Fonseca Neves, Isa Elói, João Carlos Ribeiro
No abstract text is available yet for this article.
July 2018: Otolaryngology—Head and Neck Surgery
Y Nakao, T Tanigawa, F Kano, H Tanaka, N Katahira, T Ogawa, K Murotani, T Nagata, R Shibata
OBJECTIVE: To assess the diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess. METHODS: Mean platelet volume and other laboratory data were retrospectively investigated. RESULTS: Mean platelet volume was significantly lower in the tonsillitis group (7.8 per cent ± 0.7 per cent) than in the control group (8.7 per cent ± 0.6 per cent; p < 0.0001), and it was significantly lower in the abscess group (7...
July 2018: Journal of Laryngology and Otology
Kayoko Hayakawa, Maki Nagashima, Kaichi Ohta, Norio Ohmagari, Niro Tayama
Fusobacterium necrophorum has recently been suggested to be associated with tonsillopharyngitis, peritonsillar abscess, and recurrent tonsillitis. Between the 2 subspecies of F. necrophorum, subsp. funduliforme is known to be a major human pathogen. To better understand the epidemiology of F. necrophorum subsp. funduliforme (FNSF), we studied the prevalence of FNSF in the tonsils of patients undergoing elective tonsillectomy (TE) for different indications. Adult patients who underwent elective TE from October 2014 to November 2015 were included...
September 21, 2018: Japanese Journal of Infectious Diseases
Maria Carratola Grant, Blake Raggio, Blair Barton, J Lindhe Guarisco
In this retrospective case series, we report clinical factors associated with pediatric peritonsillar abscess (PTA), with hopes of contributing to the design of an evidenced-based, economic treatment approach. Charts were examined for presenting symptoms and signs. Each of these were analyzed for association with the presence of PTA and for association with treatment. We found that, with the exception of leukocytosis, the signs/symptoms that prompted treatment correlate with those that indicate the presence of PTA...
October 2018: Clinical Pediatrics
C Boon, W E Wan Mohamad, I Mohamad
Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. It is regarded as an emergency as an upper airway obstruction can develop. Bilateral peritonsillar abscess is a rare presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis...
2018: Malaysian Family Physician
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