1774: Fusobacterium Necrophum Without Septic Thrombophlebitis

Halfman, Camille; Joslin, Jeremy

doi:10.1097/01.ccm.0000510447.95922.2a

Cited by 2 publications

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“…Although infrequent, Group C Streptococcus has previously been reported in aspirates of peritonsillar abscesses [10] , [11] , [12] . The incidence of bacteremia in patients with peritonsillar abscesses is unknown, but Fusobacterium bacteremia has been reported in individuals with peritonsillar abscesses [13] , [14] , [15] . Therefore, the bacteriological findings suggesting a polymicrobial peritonsillar abscess in this case are consistent with previous reports.…”

Section: Discussionmentioning

confidence: 99%

Peritonsillar abscess associated with Helicobacter cinaedi bacteremia: A case report

Harada,

Nakanishi,

Kutsuna

et al. 2024

IDCases

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Section: Discussionmentioning

confidence: 99%

Peritonsillar abscess associated with Helicobacter cinaedi bacteremia: A case report

Harada,

Nakanishi,

Kutsuna

et al. 2024

IDCases

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Complications of peritonsillar abscess

Klug

Greve

Hentze

2020

Ann Clin Microbiol Antimicrob

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Background The vast majority of patients with peritonsillar abscess (PTA) recover uneventfully on abscess drainage and antibiotic therapy. However, occasionally patient´s condition deteriorates as the infection spread in the upper airway mucosa, through cervical tissues, or hematogenously. The bacterial etiology of PTA is unclarified and the preferred antimicrobial regimen remains controversial. The current narrative review was carried out with an aim to (1) describe the spectrum of complications previously recognized in patients with peritonsillar abscess (PTA), (2) describe the bacterial findings in PTA-associated complications, and (3) describe the time relation between PTA and complications. Methods Systematic searches in the Medline and EMBASE databases were conducted and data on cases with PTA and one or more complications were elicited. Results Seventeen different complications of PTA were reported. The most frequently described complications were descending mediastinitis (n = 113), para- and retropharyngeal abscess (n = 96), necrotizing fasciitis (n = 38), and Lemierre´s syndrome (n = 35). Males constituted 70% of cases and 49% of patients were > 40 years of age. The overall mortality rate was 10%. The most prevalent bacteria were viridans group streptococci (n = 41, 25%), beta-hemolytic streptococci (n = 32, 20%), F. necrophorum (n = 21, 13%), S. aureus (n = 18, 11%), Prevotella species (n = 17, 10%), and Bacteroides species (n = 14, 9%). Simultaneous diagnosis of PTA and complication was more common (59%) than development of complication after PTA treatment (36%) or recognition of complication prior to PTA (6%). Conclusion Clinicians involved in the management of PTA patients should be aware of the wide range of complications, which may arise in association with PTA development. Especially males and patients > 40 years of age seem to be at an increased risk of complicated disease. In addition to Group A streptococci and F. necrophorum , the current findings suggest that viridans group streptococci, S. aureus , Prevotella , and Bacteroides may also play occasional roles in the development of PTA as well as spread of infection. Complications occasionally develop in PTA patients, who are treated with antibiotics and surgical drainage.

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1774: Fusobacterium Necrophum Without Septic Thrombophlebitis

Cited by 2 publications

References 0 publications

Peritonsillar abscess associated with Helicobacter cinaedi bacteremia: A case report

Peritonsillar abscess associated with Helicobacter cinaedi bacteremia: A case report

Complications of peritonsillar abscess

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