1/16. Acute post streptococcal interstitial nephritis in an adult and review of the literature.While glomerular lesions are a recognized sequel to infection with group A beta haemolytic streptococci, literature on primary tubular lesions, as remote effects of streptococcal infection, is scanty. A case of interstitial nephritis in a 29-year-old woman following streptococcal sore throat is described. This adult admitted with tonsillitis developed acute renal failure from acute interstitial nephritis and subsequently had full recovery of renal function. Acute interstitial nephritis should be included in the differential diagnosis of patients with streptococcal infections who develop acute renal failure.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
2/16. Acute tonsillitis complicated by retropharyngeal and thyroid abscess infected with de-repressed beta lactamase citrobacter mutans.An unusual presentation of acute tonsillitis complicated by retropharyngeal and thyroid abscess is reported. Spontaneous rupture of retropharyngeal abscess resulted in necrotic fistulae between the pharyngeal wall and the retropharyngeal space.- - - - - - - - - - ranking = 5keywords = tonsillitis (Clic here for more details about this article) |
3/16. External carotid artery aneurysm in an infant presenting with oropharyngeal haemorrhage.We report an unusual case of a mycotic external carotid artery aneurysm presenting in a nine-month-old infant. She presented with coryzal-like symptoms and oropharyngeal haemorrhage. This was thought initially to be due to acute tonsillitis. There was significant haemorrhage and reversible hypovolaemic arrest. A contrast computerised tomography scan (CT) confirmed the diagnosis of a mycotic external carotid artery aneurysm. This was subsequently successfully treated by percutaneous embolization with microcoil insertion.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
4/16. critical care nurses be aware: Lemierre's syndrome is on the rise.Lemierre's syndrome (LS) typically occurs in previously healthy young adolescents and young adults who become acutely ill following an attack of pharyngotonsillitis. Also known as post anginal sepsis, those afflicted develop pyrexia, rigours and multiple metastatic abscesses that lead to septic thrombophlebitis of the internal jugular vein. In the pre-antibiotic era this particularly virulent syndrome had a mortality rate in excess of 90%, but since the introduction of antibiotics and the widespread treatment of throat infections, it has became almost unknown. However, due to a number of factors, including a reduction in the use of antibiotics for the treatment of sore throats, misdiagnosis and/or improvements in microbiology diagnostic techniques, several reports have indicated a resurgence of the condition. This has major ramifications for critical care nurses as LS is still associated with significant morbidity and mortality. This paper discusses the aetiology, pathophysiology, bacteriology, diagnosis and management aspects of this syndrome. A case study of a young woman is presented to illustrate the complexity of the condition, and highlight how early diagnosis and prompt initiation of appropriate intravenous antibiotic therapy ensured a favourable clinical outcome.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
5/16. Complications of ENT infections: pseudoaneurysm of the internal carotid artery.Ear, nose and throat infections are common, especially in children and young adults. Since the advent of antibiotics, complications from tonsillitis and pharyngeal abscess are rare, but potentially lethal. Vascular complications can be imaged with Doppler ultrasound and CT scan. The treatment of infectious vascular complications represents a significant challenge. We describe the case of a young girl presenting with a pseudoaneurysm of the internal carotid and thrombosis of the internal jugular vein. Endovascular therapy was utilized to treat the patient.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
6/16. Unsuspected sarcoidosis of the tonsil.A case of unsuspected sarcoidosis of the tonsils and adenoids presenting as nasal airway obstruction in a child believed to have chronic tonsillitis with adenoid hypertrophy is reported. This unusual case supports the value of routine histologic analysis of all tissue removed at the time of surgery.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
7/16. Spontaneous tonsillar haemorrhage in acute tonsillitis.The presentation and management of four cases of spontaneous haemorrhage from the tonsil in association with acute tonsillitis are reported and discussed. Interestingly, younger patients presented with haematemesis. This is a newly recognised, rare, but potentially dangerous complication of acute tonsillitis. Its possible aetiology, pathophysiology and treatment options are discussed.- - - - - - - - - - ranking = 6keywords = tonsillitis (Clic here for more details about this article) |
8/16. Uvulectomy to prevent throat infections.It is common practice in many parts of africa for traditional healers to remove the uvula to prevent infections and other disorders associated with the throat. We report two cases of children presenting with recurrent tonsillitis. On examination both children showed complete absence of the uvula and prominent tonsils. It was later revealed that they both had undergone uvulectomy, performed by traditional healers in eritrea. We report this because this practice, although commonly performed, is little known to otolaryngologists practising outside africa. In addition, although velopharyngeal competence seems to be maintained after uvulectomy, it may theoretically be at risk if adenoidectomy is performed in these patients.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
9/16. Gonorrheal infections in the oropharynx.In the otolaryngology literature, little attention is given to pharyngeal gonococcal infections. In the past, gonorrheal stomatitis was emphasized; recent publications dealt especially with tonsillitis. A gonococcal focus in the tonsil is not easily eradicated and often leads to diseminated gonorrhea with arthritis. Homosexual contacts are of importance. Among 196 patients with suspected venereal disease (93 men and 103 women), 74 had genital or rectal gonorrhea, or both; two female patients had an isolated gonococcal pharyngeal infection. A positive gonococcal pharyngeal culture was obtained from one homosexual man who had tonsillitis. In all cases of tonsillitis in "young" adults, the otolaryngologist should be aware of the possibility of a gonorrheal infection. Even if there is the slightest suspicion, a tonsillar culture for gonococci is required, for which suction of the crypts is recommended.- - - - - - - - - - ranking = 3keywords = tonsillitis (Clic here for more details about this article) |
10/16. peritonsillar abscess, retropharyngeal abscess, mediastinitis, and nonclostridial anaerobic myonecrosis: a case report.peritonsillar abscess is a potentially life-threatening complication of acute tonsillitis. On occasion, peritonsillar abscess can extend to neck spaces and/or to the mediastinum. We describe a case of a patient with a peritonsillar abscess that extended to the neck, producing bilateral retropharyngeal abscesses and myonecrosis of the strap muscles. culture of a specimen of the necrotic muscle yielded prevotella intermedia, Prevotella buccae, lactobacillus catenaforme, another lactobacillus species, peptostreptococcus anaerobius, and some nonanaerobes. culture of the peritonsillar abscess yielded P. intermedia and P. buccae plus P. anaerobius, peptostreptococcus asaccharolyticus, bifidobacterium dentium, viridans and group F streptococci, and citrobacter diversus. culture of the retropharyngeal abscess yielded fusobacterium nucleatum and actinomyces odontolyticus in addition to most of the aforementioned organisms. The patient underwent repeated drainage and debridement procedures and was treated with various antimicrobial agents and ultimately recovered. This case highlights the polymicrobial nature of peritonsillar abscess and the serious complications that this infection may lead to.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
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