Risk factors for recurrence of peritonsillar abscess

Chung, June‐Key; Lee, Y C; Shin, Seung Youp; Eun, Young Gyu

doi:10.1017/s002221511400259x

Cited by 21 publications

(26 citation statements)

References 23 publications

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“…There exists a plethora of potential reasons for persistent or recurrent peritonsillar disease. Early recurrences, or persistence of disease, could be related to inadequate treatment (such as inadequate drainage of the peritonsillar space), extraperitonsillar spread of infection, or autoimmune deficiency . Later recurrences could be related to autoimmune deficiency or prior history of tonsillitis or pharyngitis.…”

Section: Discussionmentioning

confidence: 99%

“…Although less common in contemporary times, surgical drainage or performance of quinsy tonsillectomy is occasionally performed for urgent evacuation of purulence in select patients . Persistent disease or development of a recurrent abscess can be common, with studies describing recurrence rates ranging from 9.6% to 40% …”

Section: Introductionmentioning

confidence: 99%

“…Factors that have been implicated in recurrent peritonsillar abscesses included younger age (16–30 years), prior history of recurrent tonsillitis, history of prior PTA, longer hospital stay, prior hospitalization for antibiotics, and extraperitonsillar spread on computed tomography (CT) imaging . The consequence of these risk factors may include greater need for follow‐up or stronger consideration for tonsillectomy.…”

Section: Introductionmentioning

confidence: 99%

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Implication of Fusobacterium necrophorum in recurrence of peritonsillar abscess

Ali¹,

Kovatch²,

Smith

et al. 2018

The Laryngoscope

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Objective: Peritonsillar abscess (PTA) is a common infectious complication of pharyngeal infection managed by otolaryngologists and emergency room physicians. Streptococcus and Fusobacterium (e.g., Fusobacterium necrophorum, FN) species are commonly isolated pathogens. The aim of this study was to determine the implication of culture results on abscess recurrence following drainage.Methods: Single-institution retrospective review of patients treated at the University of Michigan between 2000 and 2017. Demographic and clinical outcome data were analyzed, including treatment details, culture data, and recurrence.Results: One hundred fifty-six of the 990 patients in our study developed recurrence of their abscess (16%). The age ranges most susceptible to recurrence included adolescent (22.9%) and young adult groups (17.1%). Recurrent patients were more likely to have experienced acute progression of symptoms (79% vs. 71%, P = 0.03), trismus (67% vs. 55%, P = 0.006), voice changes (65% vs. 57%, P = 0.04), and dysphagia (72% vs. 61%, P = 0.01) compared to nonrecurrent patients. They were also more likely to have clinical lymphadenopathy noted on initial examination (67% vs. 56%, P = 0.009). Culture data was sent for 852 patients (86%). The presence of FN was significantly more prevalent in the recurrent group (P < 0.0001).Conclusion: There is a high observed prevalence of FN species within PTA aspirates in the recurrent PTA population. PTA aspirate should be sent for anaerobic growth to screen for Fusobacterium species. In addition, follow-up and lower threshold for subsequent tonsillectomy should be considered in this at-risk group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implication of Fusobacterium necrophorum in recurrence of peritonsillar abscess

Ali¹,

Kovatch²,

Smith

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…Systemic complications include sepsis and jugular vein thrombophlebitis [4]. In a study involving 172 patients with PTA, Chung et al found that extraperitonsillar spread of infection and recurrent episodes of tonsillitis were significant predictors of PTA recurrence [11]. The reported recurrence rate ranges from 5.9% to 22.7% [2].…”

Section: Discussionmentioning

confidence: 99%

Bilateral peritonsillar abscess: A case report and pertinent literature review

AlAwadh

Aldrees

Alqaryan

et al. 2017

International Journal of Surgery Case Reports

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“…A previous paper investigating risk factors for recurrence of peritonsillar abscess adds to these findings. 3 The contention that personal music systems used at high volume are harmful to hearing is corroborated by Kumar and Deepashree's experimental work involving 60 participants. 4 The authors found that personal music systems used at high volumes led to: elevated high frequency thresholds, reduced frequency discrimination and temporal modulation detection, and poor speech perception.…”

mentioning

confidence: 93%