Bilateral peritonsillar abscess: case report and literature review

Pham, Viet Hung; Güngör, Anıl

doi:10.1016/j.amjoto.2010.12.010

Cited by 15 publications

(27 citation statements)

References 39 publications

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“…However, equal numbers of left and right PTA have also been reported [5, 7]. The average incidence of bilateral PTA has been estimated to be 4.8–4.9 % [24]. In our series, bilateral PTA was found in 1.8 % of patients.…”

Section: Discussionsupporting

confidence: 50%

Epidemiology, clinical history and microbiology of peritonsillar abscess

Mazur

Czerwińska

Korona-Głowniak

et al. 2014

Eur J Clin Microbiol Infect Dis

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The purpose of this investigation was to explore the epidemiology, clinical history and microbiology of peritonsillar abscess (PTA). A retrospective review of PTA cases treated at the Department of Otolaryngology, Regional Specialist Hospital in Radom, Poland between 1st October 2003 and 30th September 2013 was undertaken. A total of 111 PTA patients were admitted. The study population consisted of 57.7 % males and 42.3 % females, with an average age of 31.0 (range 5–78) years. Smokers comprised 22.0 % of the study group. The seasonal variation of PTA was statistically insignificant (p = 0.45). Recurrent tonsillitis occurred in 35.5 % of patients. In comparison with the rest of the study population, patients with a history of recurrent pharyngotonsillitis had higher incidence of previous PTA episodes [odds ratio (OR) 17.8, 95 % confidence interval (CI) 2.1–148.7, p = 0.001]. Also, they were more frequently treated with antibiotics prior to hospitalisation (OR 4.6, 95 % CI 2.0–10.9, p = 0.0005) and had significantly longer hospital stay (p = 0.03). Bacterial cultures of abscess aspirates were performed in 40.5 % of patients. Monomicrobial growth was detected in 77.8 % of aerobic cultures. Streptococcus pyogenes, growing most frequently in monoculture, was found in 28.9 % of aerobic cultures. PTA patients with and without recurrent pharyngotonsillitis differed with regard to clinical history and course of disease. The percentage of smokers among PTA patients was lower than that described in the literature. Monomicrobial growth predominated in PTA aspirate cultures. S. pyogenes proved to be the most frequent pathogen.

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Section: Discussionsupporting

confidence: 50%

Epidemiology, clinical history and microbiology of peritonsillar abscess

Mazur

Czerwińska

Korona-Głowniak

et al. 2014

Eur J Clin Microbiol Infect Dis

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“…According to Templer, diagnosis of PTA is based on the evidence of pus, otherwise the term of peritonsillitis should be used [289]. Bilateral PTA has been reported in rates of 0.8% [260], [266], [290], 1.0% [267], [291], 1.8% [270], 3.88% [292] and even 4.9% [293], [294], respectively.…”

Section: Resultsmentioning

confidence: 99%

Indications for tonsillectomy stratified by the level of evidence

Windfuhr

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc09

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“…La bibliografía se limita a reporte de casos. 1,4,[7][8][9][10] Se ha informado con mayor frecuencia (el 1,9-24 %) el hallazgo de una colección contralateral, no manifiesta clínicamente, durante amigdalectomías "en caliente" realizadas por abscesos unilaterales. Se postula que este hallazgo puede corresponderse a diferentes momentos evolutivos de la patología presente en ambos espacios periamigdalinos.…”

Section: Discussionunclassified

Absceso periamigdalino bilateral en pediatría: reporte de un caso

2019

Arch Argent Pediat

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Presentación de casos clínicos RESUMEN El absceso periamigdalino es la complicación más frecuente de la amigdalitis aguda bacteriana, definido como la presencia de pus entre la cápsula periamigdalina y el músculo constrictor superior de la faringe. Habitualmente, su presentación es unilateral; es rara su afectación bilateral. Es más frecuente en adultos y poco común en niños. Cuando es bilateral, el paciente presenta odinofagia, trismus, sialorrea, fiebre y voz gutural, síntomas que comparte con el absceso unilateral, pero, en el examen físico, se evidencia abombamiento de ambos pilares anteriores, edema de úvula y paladar blando, sin asimetrías de las estructuras faríngeas. Se requiere un alto nivel de sospecha clínica para lograr el diagnóstico temprano. El manejo de la vía aérea, que podría ser dificultoso, es un aspecto importante en el tratamiento. Se presenta el caso clínico de un niño con absceso periamigdalino bilateral; se describe el proceso diagnóstico y terapéutico. Palabras clave: absceso periamigdalino bilateral, niño.

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Bilateral peritonsillar abscess: case report and literature review

Cited by 15 publications

References 39 publications

Epidemiology, clinical history and microbiology of peritonsillar abscess

Epidemiology, clinical history and microbiology of peritonsillar abscess

Indications for tonsillectomy stratified by the level of evidence

Absceso periamigdalino bilateral en pediatría: reporte de un caso

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