Bilateral Peritonsillar Abscesses: Our Experience and Clinical Features

Watanabe, Tetsuo; Suzuki, Masashi

doi:10.1177/000348941011901003

Cited by 11 publications

(5 citation statements)

References 15 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management requires antimicrobial therapy with or without surgical drainage, and inadequate treatment may lead to serious complications such as airway compromise from epiglottal or laryngeal edema, deep neck abscess of the para-or retropharyngeal spaces, or mediastinitis [3]. The characteristics of PTA and the effects of early surgical drainage for this disease have not been well described.…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors and effects of early surgical drainage in patients with peritonsillar abscess

Tachibana¹,

Orita²,

Abe-Fujisawa³

et al. 2014

Journal of Infection and Chemotherapy

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Prognostic factors and effects of early surgical drainage in patients with peritonsillar abscess

Tachibana¹,

Orita²,

Abe-Fujisawa³

et al. 2014

Journal of Infection and Chemotherapy

View full text Add to dashboard Cite

“…[21] The incidence of bilateral peritonsillar abscess was reported in other study. [22] Aspirated pus was more than 5ml in majority of the patient which may be due to predominantly adults and late presentation. In most of these patients fine needle aspiration of the pus without incision and drainage was adequate for their treatment.…”

Section: Discussionmentioning

confidence: 95%

Clinical Profile and Management of Peritonsillar Abscess in a Sub Saharan Africa

Adegbiji

Olajide

Adebayo

2020

ijirms

View full text Add to dashboard Cite

Background: Peritonsillar abscess is a common pathology that presents to an otolaryngologist with poor documentation especially in developing countries. The aim of this study was to describe the clinical profile and management of peritonsillar abscess in our practice. Material and Method: This was a retrospective study of patients presenting to our Ear, Nose and Throat facility with diagnosis of peritonsillar abscess. Information obtained includes detailed demographic characteristics, clinical findings and management of the patients. All obtained data were collated, entered into computer system and analyzed using SPSS version 18.0. Results: Prevalence of peritonsillar abscess was 0.2%. There were 38.9% males and male to female ratio was 1:1.6. Duration of illness at presentation with more than 1 week was 75.9% and single episode occurred in 85.2%. Right peritonsillar abscess accounted for 66.7% and aspirated pus of more than 5 ml was recorded in 48.1%. Majority (87.0%) of the patients was referred and 42.6% of such referral is by family physician. Patients seen in ear, nose and throat outpatient clinic were 83.3%. Common symptoms at presentation were fever, sore throat, odynophagia and otalgia in 100%, 94.4%, 90.7% and 59.3% respectively. All the patients (100%) had enlarged tonsils and with deviated uvula on clinical examination followed by 98.1% exudate on the tonsils and 31.5% trismus. Test aspirate confirmed peritonsillar abscess in 68.5% and all revealed growth of bacteria. Common isolated bacteria were 35.2% Streptococcus species and 11.1% Staphyloccocus aureus. Isolated Streptococcus species and Staphylococcus aureus had 100% sensitivity to cefuroxime, gentamicin, azithromycin, ceftazidine, Amoxicillin and Streptomycin. Prior prehospital treatment was received by 81.5% patients. Hospital treatments were surgical intervention and medical treatment in 90.7% and 100% respectively. Recurrences occurred in 3.7% during followed up. Conclusion: Peritonsillar abscess are common disorder with female preponderance in this study. The prevalence recorded in this study was 0.2%. It usually mimic other causes of fever hence eye index of suspicion is essential. Surgical treatment remains the effective mode of management in our study.

show abstract

“…Increased leukocytes and CRP are found in unilateral peritonsillar abscesses and even higher in bilateral peritonsillar abscesses. 3,7 CT scan showed hypodense lesions (26-29 HU) with clear boundaries, irregular edges at the right and left peritonsillar, and showed rim enhancement on contrast. This outcome indicates the presence of fluid in the form of pus in the peritonsillar.…”

Section: Discussionmentioning

confidence: 99%

“…2,4 Complaints with peritonsillar abscess include difficulty swallowing, fever, pain, and a lump in the throat. 6,7 Complaint of bilateral peritonsillar abscess is longer than in unilateral peritonsillar abscess. Shortness of breath can be caused by narrowing the upper airway due to bilateral peritonsillar abscesses.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Bilateral peritonsillar abscess with complications of upper airway obstruction

Perdana

Rosalina

2022

F1000Res

View full text Add to dashboard Cite

Background: Peritonsillar abscess is a collection of pus between the tonsillar fibrous capsule and the pharyngeal constrictor muscle. Unilateral peritonsillar abscess is a common complication of acute tonsillitis, whereas bilateral peritonsillar abscess is rare. The incidence of bilateral peritonsillar abscess remains unknown but is estimated to be 4.9% of all peritonsillar abscess cases. Case report: A 20-year-old man came to the emergency room with bilateral peritonsillar abscess and complained of shortness of breath for two weeks. Physical examination showed muffled voice, 82% oxygen saturation, and inspiratory stridor. The isthmus faucium was narrow, with approximately 30% remaining. Peritonsillar puncture revealed pus mixed with blood. The treatment for this patient included bilateral peritonsillar incision and drainage and intravenous antibiotics of levofloxacin and metronidazole. The patient came to the Ear, Nose, Throat, Head, and Neck (ENTHN) Outpatient Unit eight days after the procedure for a control checkup and was in good condition. Conclusion: We have reported a bilateral peritonsillar abscess with complications of upper airway obstruction, in which we performed incision and drainage. Prompt and appropriate management is needed to avoid unwanted morbidity and mortality.

show abstract

Bilateral Peritonsillar Abscesses: Our Experience and Clinical Features

Cited by 11 publications

References 15 publications

Prognostic factors and effects of early surgical drainage in patients with peritonsillar abscess

Prognostic factors and effects of early surgical drainage in patients with peritonsillar abscess

Clinical Profile and Management of Peritonsillar Abscess in a Sub Saharan Africa

Case Report: Bilateral peritonsillar abscess with complications of upper airway obstruction

Contact Info

Product

Resources

About