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Peritonsillar Abscess

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1. Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess

Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess Prescrire IN ENGLISH - Spotlight ''Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess'', 1 January 2019 {1} {1} {1} | | > > > Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |  (...)  |  Spotlight Nonsteroidal anti-inflammatory drugs in pharyngitis: risk of peritonsillar abscess To relieve fever or sore throat, it is better not to use nonsteroidal anti-inflammatory drugs (NSAIDs), but to use paracetamol instead. In 2017, an epidemiological study was carried out on the risks of peritonsillar abscess after pharyngitis. From the database of the Observatory of General Medicine based on input from more than 120 doctors in France, the analysis covered 105 802 pharyngitis

2019 Prescrire

3. Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess. (PubMed)

Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess. Peritonsillar abscess is a common infection presenting as a collection of pus in the peritonsillar area. The condition is characterised by a severe sore throat, difficulty in swallowing and pain on swallowing, fever and malaise, and trismus. Needle aspiration and incision and drainage are the two main treatment modalities currently used in the treatment of this condition. The effectiveness of one versus (...) the other has not been clearly demonstrated and remains an area of debate.To assess the effectiveness and risks of needle aspiration versus incision and drainage for the treatment of peritonsillar abscess in older children (eight years of age or older), adolescents and adults.The Cochrane ENT Information Specialist searched the ENT Trials Register; Central Register of Controlled Trials (CENTRAL 2016, Issue 7); Ovid MEDLINE; Ovid Embase; CINAHL; Web of Science; ClinicalTrials.gov; ICTRP and additional

2016 Cochrane

4. Cohort study: General practices that reduce antibiotic prescribing for self-limiting respiratory tract infections by 10% can expect to see one extra patient with pneumonia each year and one peritonsillar abscess each decade

Cohort study: General practices that reduce antibiotic prescribing for self-limiting respiratory tract infections by 10% can expect to see one extra patient with pneumonia each year and one peritonsillar abscess each decade General practices that reduce antibiotic prescribing for self-limiting respiratory tract infections by 10% can expect to see one extra patient with pneumonia each year and one peritonsillar abscess each decade | BMJ Evidence-Based Medicine We use cookies to improve our (...) * Password * your user name or password? You are here General practices that reduce antibiotic prescribing for self-limiting respiratory tract infections by 10% can expect to see one extra patient with pneumonia each year and one peritonsillar abscess each decade Article Text Therapeutics/Prevention Cohort study General practices that reduce antibiotic prescribing for self-limiting respiratory tract infections by 10% can expect to see one extra patient with pneumonia each year and one peritonsillar

2017 Evidence-Based Medicine (Requires free registration)

5. Increased Levels of S100A8/A9 in Patients with Peritonsillar Abscess: A New Promising Diagnostic Marker to Differentiate between Peritonsillar Abscess and Peritonsillitis (PubMed)

Increased Levels of S100A8/A9 in Patients with Peritonsillar Abscess: A New Promising Diagnostic Marker to Differentiate between Peritonsillar Abscess and Peritonsillitis Peritonsillar abscess (PTA) is a very frequent reason for urgent outpatient consultation and otolaryngological hospital admission. Early, correct diagnosis and therapy of peritonsillar abscess are important to prevent possible life-threatening complications. Based on physical examinations, a reliable differentiation between (...) peritonsillar cellulitis and peritonsillar abscess is restricted. A heterodimeric complex called calprotectin consists of the S100 proteins A8 and A9 (S100A8/A9) and is predominantly expressed not only in monocytes and neutrophils but also in epithelial cells. Due to its release by activated phagocytes at local sites of inflammation, we assumed S100A8/A9 to be a potential biomarker for peritonsillar abscess. We examined serum and saliva of patients with peritonsillitis, acute tonsillitis, peritonsillar

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2017 Disease markers

6. Bilateral peritonsillar abscess: A rare emergency (PubMed)

Bilateral peritonsillar abscess: A rare emergency Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. It is regarded as an emergency as an upper airway obstruction can develop. Bilateral peritonsillar abscess is a rare (...) presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis. Prompt diagnosis and fast drainage are warranted to avoid unwanted morbidity, and, also, mortality.

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2018 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia

7. Predictors of intratonsillar abscess versus peritonsillar abscess in the pediatric patient. (PubMed)

Predictors of intratonsillar abscess versus peritonsillar abscess in the pediatric patient. To determine the incidence of intratonsillar abscess (ITA) patients within the population of patients diagnosed with peritonsillar abscess (PTA) and to further characterize the differences in symptomatology and successful treatment strategies between the two groups.This study is a retrospective chart review of patients diagnosed with PTA or ITA at our institution from 2000 to 2017. Descriptive (...) than for the PTA group. Recurrence was uncommon in ITA patients in comparison to PTA patients.Intratonsillar abscess should be considered in the differential diagnosis for patients presenting with sore throat and concern for a pharyngeal infection or abscess. These patients have a significantly lower proportion of otalgia, trismus, vocal changes, and dysphagia. Given the low success rate of drainage attempts and lower recurrence rate, diagnosing physicians should consider medical management rather

2018 International Journal of Pediatric Otorhinolaryngology

8. Validating peritonsillar abscess drainage rates using the Pediatric hospital information system data. (PubMed)

Validating peritonsillar abscess drainage rates using the Pediatric hospital information system data. To evaluate the accuracy of the Children's Hospital Association's Pediatric Health Information System (PHIS) registry data in determining surgical drainage rates as compared to a chart review on the same cohort of children with diagnosis of peritonsillar abscess.Retrospective analysis.Our analysis included 200 children, ages 2 to 17 years, treated for a peritonsillar abscess from 2011 to 2016 (...) of the peritonsillar abscess when compared to chart review.4. Laryngoscope, 2019.© 2019 The American Laryngological, Rhinological and Otological Society, Inc.

2019 Laryngoscope

9. The Liverpool Peritonsillar abscess Score (LPS): Development of a predictive score through a prospective multi-centre observational study. (PubMed)

The Liverpool Peritonsillar abscess Score (LPS): Development of a predictive score through a prospective multi-centre observational study. While uncommon in the population at large, peritonsillar abscess (PTA) is a common subject of ENT referrals. Missed or uncertain diagnosis is a source of concern for non-specialist referrers. In line with the NHS England Second Sepsis Action Plan, we aimed to develop a predictive score for the presence of PTA. This would help to improve non-specialist (...) .100 patients were included (46 PTA and 54 tonsillitis). Five variables added significantly to the logistic regression model: unilateral sore throat; trismus; male gender; pharyngeal voice change; and uvular deviation. Using the odds ratio outputs, we developed the Liverpool Peritonsillar abscess Score (LPS) iteratively. We validated the latest (third) iteration of the LPS internally (ie, on the same sample), yielding sensitivity 96%; specificity 85%; positive predictive value 85%; and negative

2019 Clinical Otolaryngology

10. Computed tomography use patterns for pediatric patients with peritonsillar abscess. (PubMed)

Computed tomography use patterns for pediatric patients with peritonsillar abscess. The objective of this study is to examine the impact that an institution-wide policy to reduce radiation exposure in pediatric patients had on the use of computed tomography (CT) imaging in children presenting with suspected peritonsillar abscess (PTA)1.A single institution retrospective review was conducted for all pediatric patients under the age of 18 who presented to the emergency department with suspected

2019 International Journal of Pediatric Otorhinolaryngology

11. Comparison of inpatient versus outpatient management of pediatric peritonsillar abscess outcomes. (PubMed)

Comparison of inpatient versus outpatient management of pediatric peritonsillar abscess outcomes. Peritonsillar abscess (PTA) in pediatric patients is a challenging condition to diagnose and treat, and recurrence can occur in up to 15% of patients. This condition can be managed in various settings and there may be outcome differences depending on the choice of inpatient/outpatient management. The objective of this study was to evaluate immediate and long-term outcomes, specifically recurrence

2019 International Journal of Pediatric Otorhinolaryngology

12. Association of Air Pollution With Increased Risk of Peritonsillar Abscess Formation. (PubMed)

Association of Air Pollution With Increased Risk of Peritonsillar Abscess Formation. Several studies reported an association between peritonsillar abscess formation and climate conditions, including seasonal changes; however, the results were inconsistent.To evaluate the association between meteorological conditions and/or air pollution and peritonsillar abscess formation.In this nested case-control study, 3819 participants with peritonsillar abscesses were matched (1:4) for age, sex, income (...) dioxide (NO2, ppm), ozone (O3, ppm), carbon monoxide (CO, ppm), and particulate matter less than 10 μg (PM10, μg/m3) for the previous 14 days, 10 days, 7 days, 5 days, or 3 days before the matched index date. These factors were measured in 94 or 273 locations hourly. The crude and adjusted odds ratios (aORs) and 95% confidence intervals (CIs) of meteorological data for peritonsillar abscess formation were analyzed using unconditional logistic regression analysis. Subgroup analyses were conducted

2019 JAMA otolaryngology-- head & neck surgery

13. Peritonsillar abscess in an infant with congenital bone marrow failure. (PubMed)

Peritonsillar abscess in an infant with congenital bone marrow failure. Peritonsillar abscess is extremely rare in infants and is potentially life-threatening. We report the case of a 3 month old infant with a background of congenital bone marrow failure who presented with sepsis and desaturation requiring intubation and PICU care. Ultrasound and CT scan revealed an inflammatory mass. Examination in theatre revealed a self-draining quinsy. Following formal drainage in theatre, the child

2019 International Journal of Pediatric Otorhinolaryngology

14. Trends in the management of peritonsillar abscess in children: A nationwide population-based study in Taiwan. (PubMed)

Trends in the management of peritonsillar abscess in children: A nationwide population-based study in Taiwan. Population-based studies analyzing peritonsillar abscess in children are lacking. In this study, a population-based survey of the epidemiology of pediatric peritonsillar abscess in Taiwan was conducted.This cross-sectional study was conducted using the Taiwan National Health Insurance Research Database. All cases of inpatient pediatric peritonsillar abscess (age < 18 years) in Taiwan (...) between 2000 and 2012 were identified using the International Classification of Diseases, Ninth Revision, Clinical Modification. Incidence rates of inpatient peritonsillar abscess in children were calculated. Characteristics such as age, gender, hospital level, treatment modalities, imaging studies, drug administration, and length of hospital stays during the study period were analyzed.A total of 12,965 children with peritonsillar abscess were included (mean age, 6.6 years [standard deviation, 4.8

2019 International Journal of Pediatric Otorhinolaryngology

15. Ultrasound for the diagnosis and drainage of suspected peritonsillar abscess

Ultrasound for the diagnosis and drainage of suspected peritonsillar abscess BestBets: Ultrasound for the diagnosis and drainage of suspected peritonsillar abscess Ultrasound for the diagnosis and drainage of suspected peritonsillar abscess Report By: David Swenson, MD; Matt Flannigan, DO, RDMS - Emergency Medicine Resident Physicians Search checked by JS Jones, MD - Research Director Institution: Grand Rapids Medical Education Research Partners/Michigan State University, USA Date Submitted (...) : 9th June 2014 Date Completed: 5th January 2015 Last Modified: 5th January 2015 Status: Green (complete) Three Part Question In [adults presenting to the emergency department with a suspected peritonsillar abscess (PTA)] is [intraoral ultrasound and guided needle aspiration better than the traditional landmark-based technique] at [allowing successful diagnosis and subsequent drainage]? Clinical Scenario A 30-year-old woman comes to the emergency department presenting with sore throat and low-grade

2015 BestBETS

16. Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess. (PubMed)

Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess. Objective This study was performed to determine whether the efficacy and safety of medical management of uncomplicated peritonsillar abscess (PTA) presenting in the emergency department is equivalent to medical plus surgical therapy. Study Design Case series with chart review. Setting Southern California Permanente Medical Group (SCPMG). Subjects and Methods Upon successful completion

2018 Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

17. A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess (PubMed)

A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess Peritonsillar abscess (PTA) is a common complication to acute tonsillitis. The treatment is drainage of the abscess, but many needle aspirations are unsuccessful due to a low diagnostic accuracy based on oral examination only. In this article, we describe how intraoral ultrasound can be added to improve the diagnostic work-up of PTA and present a novel technique for ultrasound-guided aspiration of PTA, using

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2018 Diagnostics

18. A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat. (PubMed)

A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat. In the winter months, one often sees a large increase in the volume of patients presenting to emergency departments with acute pharyngitis. While most cases of acute pharyngitis are benign, a rare minority can be life threatening.We report a case of epiglottis with a concomitant peritonsillar abscess (PTA) in an adult who presented to the emergency department with a sore throat

2018 Journal of Emergency Medicine

19. Diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess. (PubMed)

Diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess. To assess the diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess.Mean platelet volume and other laboratory data were retrospectively investigated.Mean platelet volume was significantly lower in the tonsillitis group (7.8 per cent ± 0.7 per cent) than in the control group (8.7 per cent ± 0.6 per cent; p < 0.0001), and it was significantly lower in the abscess (...) group (7.5 per cent ± 0.6 per cent) than in the no abscess group (8.0 per cent ± 0.7 per cent; p = 0.0277). White blood cell counts and C-reactive protein levels were not significantly different between patients with an abscess and those without. The mean platelet volume cut-off values for the diagnosis of tonsillitis and peritonsillar abscess were 7.95 fl and 7.75 fl, respectively.Our results suggest that a decreased mean platelet volume is associated with the development and severity

2018 Journal of Laryngology & Otology

20. Non-steroids anti-inflammatory drugs and risk of peritonsillar abscess in pharyngitis: a French longitudinal study in primary care. (PubMed)

Non-steroids anti-inflammatory drugs and risk of peritonsillar abscess in pharyngitis: a French longitudinal study in primary care. The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature.To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care.A retrospective cohort study using Observatory of General Medicine Datalink from

2018 Family Practice

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