1,653 results match your criteria: "Peritonsillar Abscess"

Background: Descending necrotizing mediastinitis (DNM) is an acute life-threatening infection that originates in the oropharyngeal region. It is an uncommon disease with a mortality rate of about 20-40%. This high mortality is mainly attributed to delays in diagnosis and treatment and poor drainage of the mediastinum.

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Article Synopsis
  • Intratonsillar abscess (ITA) is a rare medical condition, and this case study details an acute ITA occurrence in an adult, including its diagnosis and treatment approach.
  • Diagnosis involved clinical assessment and CT imaging, with treatment comprising drainage, IV clindamycin, and IV dexamethasone.
  • The literature review of 72 ITA cases suggests that IV antibiotics with needle aspiration should be the first-line treatment, while more invasive procedures like incision and drainage or tonsillectomy are reserved for resistant or recurrent cases.
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Background And Aim: The use of systemic corticosteroids during Epstein-Barr virus (EBV)-induced infectious mononucleosis is a controversial but widespread practice. We aimed to investigate the frequency of complications in adolescents and adults with infectious mononucleosis in relation to the use of corticosteroids.

Methods: We reviewed the clinical records of 396 patients admitted to the hospital with infectious mononucleosis (52.

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Lemierre syndrome (LS) is referred to as the 'forgotten Disease' owing to its rarity in the postantibiotic era with an estimated yearly incidence of 1/million population. The classic triad of LS includes internal jugular vein thrombosis, oropharyngeal infection and metastatic septic emboli. We present a case of typical LS with and infection, presenting with peritonsillar abscess and jugular vein thrombosis complicated by sepsis, acute hypoxic respiratory failure due to multiple pulmonary emboli and severe thrombocytopaenia in the absence of disseminated intravascular coagulation.

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  • Oral diseases are common and negatively impact individuals' quality of life, with recent research indicating that depression contributes to their development and incidence.
  • This study utilized two-sample Mendelian randomization to explore the link between depression and 17 different oral diseases, employing various analytical methods to ensure the reliability of the results.
  • The findings confirmed a causal relationship between depression and certain oral issues, suggesting that managing depression could improve the effectiveness of treating oral diseases.
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Peritonsillar abscess.

JAAPA

January 2024

In the PA program at Midwestern University in Glendale, Ariz., Deborah L. Black is an associate professor and clinical coordinator, and Robyn Sears is an associate professor and program director. The authors have disclosed no potential conflicts of interest, financial or otherwise.

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Peritonsillar abscess (PTA) is the most common deep neck infection in the United States. Timely treatment of PTA with antibiotics and aspiration or drainage is paramount, as delay in management may lead to further complications. The oral approach is the preferred route of drainage however may not always be accessible, warranting consideration of other routes of drainage.

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  • * It aims to identify and describe cost-effective OHNS simulation models suitable for undergraduate students and general practitioners, who play a significant role in OHNS care.
  • * Out of 1706 studies reviewed, only 17 met the criteria, primarily focused on low-fidelity models, with limited information on costs and materials, indicating a gap in relevant training solutions.
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Outcomes of abscess tonsillectomy in patients awaiting tonsillectomy: A comparison with interval tonsillectomy.

Am J Otolaryngol

March 2024

Department of Otolaryngology, Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel; Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel. Electronic address:

Purpose: Peritonsillar abscesses (PTA) occasionally occur in patients who have a concurrent history of recurrent tonsillitis or prior PTA episodes. These patients sometimes meet the indications for elective tonsillectomy even prior to the current PTA event. Abscess ("Quinsy") tonsillectomy (QT) could serve as definitive treatment in this specific subgroup, though it is not performed often.

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Impact of the COVID-19 era on clinical presentation, management and microbiology in paediatric peritonsillar abscess: A case-control study.

Clin Otolaryngol

March 2024

Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Objectives: Peritonsillar abscess (PTA) is the most common soft-tissue infection of the head and neck. This potential complication of tonsillitis has demonstrated unique microbial trends during the COVID-19 pandemic. This era has resulted in a major shift in the hygiene and social habits of the general population, which has resulted in changes in the presentation, management and microbiology of several infectious diseases.

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The use of point of care ultrasound (POCUS) for diagnosis and treatment of peritonsillar abscess (PTA) is increasing 1. Proven advantages include improved diagnostic accuracy and treatment success rates as well as decreased otolaryngology consultation, computed tomography (CT) usage, return visits to the emergency department (ED), and length of stay 1. We present a case of a patient with a PTA that was diagnosed and successfully treated utilizing POCUS, avoiding the need for otolaryngology consultation and CT.

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Introduction: This study aims to examine the long-term management of peritonsillar abscess and compare needle aspiration, incision with drainage, and tonsillectomy in terms of comorbidities, complication rates, and recurrences in the largest study cohort published to date.

Methods: We conducted a retrospective analysis of patients, both adults and children, who were treated for peritonsillar abscess between 2007 and 2019. Patient charts were analyzed to assess surgical treatment, infection and inflammation rates, risk of bleeding, recurrence rates, duration of illness, and sick certificates.

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Mycoplasma hominis is a bacterium that colonizes the genital tract of some females and males, as well as their respiratory tracts. Although only two cases of deep neck infection have been reported, the associations between the onset and sexual intercourse have not been reported. A healthy 19-year-old female was diagnosed with a left peritonsillar abscess.

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Article Synopsis
  • The study systematically reviews literature on peritonsillar abscess (PTA) drainage simulations by examining various medical databases for relevant articles.
  • A total of 10 studies were included, indicating a lack of exposure to PTA among junior residents before simulation training, but significant improvements in their confidence levels post-training.
  • The conclusion emphasizes that while PTA simulations effectively boost trainee confidence, there's a need for standardized simulators to enhance training consistency and effectiveness in pre-clinical settings.
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Objective: In clinical practice, identifying abscesses in tonsillar infections is crucial for early therapeutic management. Diagnosis of a peritonsillar abscess is usually based on clinical symptoms. Complementary examination procedures, such as laboratory parameters and imaging, are available for confirmation.

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Unveiling the etiology of peritonsillar abscess using next generation sequencing.

Ann Clin Microbiol Antimicrob

November 2023

Department of Microbiology, Institute of Biomedicine and Translational Medicine, Faculty of Medicine, University of Tartu, Ravila 19, Tartu, 50411, Estonia.

Article Synopsis
  • - The study focused on identifying bacteria causing peritonsillar abscesses (PTA) using next generation sequencing (NGS) on samples from 91 patients.
  • - Researchers discovered over 400 bacteria types, with the most common being Streptococcus pyogenes, Fusobacterium necrophorum, and Fusobacterium nucleatum; S. pyogenes was the main species in most cases.
  • - The findings suggest that pus samples from the abscess are more informative for diagnosis than tonsil tissue, helping improve treatment for PTA patients.
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Background: Given the widespread prevalence of the coronavirus disease 2019 (COVID-19), oral and neck examinations tend to be avoided in patients with suspected or confirmed COVID-19. This might delay the diagnosis of conditions such as Lemierre's syndrome, which involves symptoms resembling COVID-19-related throat manifestations.

Case Presentation: A 24-year-old man without any underlying conditions was diagnosed with COVID-19 7 days before presentation.

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[Disproving the myth of "abscess weather" predisposing to peritonsillitis and peritonsillar abscess].

HNO

January 2024

Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland.

Background: Peritonsillar abscess (PTA) is often seen as a complication of acute tonsillitis and is defined as pus retention between the tonsillar capsule and the peritonsillar tissue. The etiology and pathogenesis have not yet been fully elucidated. A connection between certain weather conditions and temperature fluctuations and the occurrence of abscesses in the head and neck region has been discussed for years.

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  • A study examined a 5-minute MRI protocol using T2-weighted and diffusion-weighted imaging to differentiate between tonsillar infections, peritonsillar abscesses, and more severe abscesses in patients suspected of having pharyngotonsillar infections.
  • The study involved 52 patients, with radiologists assessing diagnostic accuracy and confidence using a short protocol versus a longer, contrast-enhanced protocol, finding both provided similar accuracy for identifying abscesses.
  • Results indicated the short MRI protocol was effective for diagnosing abscesses and while the full protocol improved reader confidence, it didn’t significantly enhance diagnostic accuracy or agreement among observers.
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Evidence-based indication for tonsil surgery in patients with recurrent acute tonsillitis (RAT) is an ongoing matter of debate. Since introduction of the German tonsillitis guideline in 2015, the indication criteria for tonsil surgery have become much stricter. It is unclear, if this has changed the indication policy.

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  • Lemierre's syndrome is a rare and severe condition often linked to sepsis, with symptoms like sore throat, neck pain, and fever, primarily caused by certain bacteria.
  • Diagnosis is confirmed through evidence of septic thrombophlebitis, prior throat infections, and positive cultures from blood or abscesses.
  • Treatment typically involves antibiotics targeting the bacteria, and while anticoagulation is debated, it may help, as illustrated in a case study of a patient treated effectively with antibiotics, anticoagulants, and draining of an abscess.
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As there is currently no consensus on managing deep neck infections in pediatric populations, we report a case series from a large pediatric hospital. Clinical data of patients discharged from Istituto Gaslini-Children's Hospital from January 2014 to June 2020 with peritonsillar, parapharyngeal, or retropharyngeal abscess diagnoses were collected. A total of 59 patients were identified.

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Purpose: Some patients require additional imaging following ultrasound (US) to definitively diagnose a peritonsillar abscess (PTA), delaying intervention and disease resolution. We seek to evaluate patient characteristics which may predispose to a secondary imaging requirement to diagnose PTA, in order to better understand ultrasound limitations and predict who will require additional studies.

Materials And Methods: Retrospective chart review of patients with an US for suspected PTA between July 2017 and July 2020.

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Background: Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome, is an acute, self-limiting vasculitis of unknown aetiology that mainly involves the medium and small arteries and can lead to serious cardiovascular complications, with a 25% incidence of coronary artery aneurysms. Periton-Sillar abscesses are a rare symptom of KD and is easily misdiagnosed at its early stages.

Case Summary: A 5-year-old boy who presented to a community hospital with a 3-d fever, difficulty in opening his mouth, and neck pain and was originally treated for throat infection without improvement.

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