1/9. Synergistic necrotizing cellulitis as a complication of peritonsillar abscess.peritonsillar abscess, a complication of tonsillitis, is not uncommon. The usual treatment consists of needle aspiration or surgical drainage and antibiotic treatment. tonsillectomy may be used in the management of this condition, either at the time of diagnosis or after an interval period. Severe complications of peritonsillar abscess are rare. Synergistic necrotizing cellulitis is a fulminant infection associated with spread along fascial plains, necrosis of connective tissue and muscle, and high mortality. It is usually otondogenic in origin in the cervicofacial area and occurs in debilitated or immune compromised patients. We discuss cervicofacial-necrotizing soft tissue disease and report an unusual case of extensive synergistic necrotizing cellulitis of the neck, chest, and shoulder as a result of a peritonsillar abscess.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
2/9. Parapharyngeal abscess: diagnosis, complications and management in adults.Parapharyngeal abscess may cause life-threatening complications. peritonsillar abscess and tonsillitis may result in parapharyngeal abscess. Since the introduction of antibiotics, the incidence of parapharyngeal abscess secondary to tonsillitis and peritonsillar abscess has decreased dramatically. We present five cases of parapharyngeal abscess resulting from tonsillitis and peritonsillar infection extending to the parapharyngeal space in adult patients. Two were complicated by mediastinitis despite early treatment by wide spectrum antibiotics. We believe that early diagnosis and aggressive antibiotic treatment with early surgical drainage in cases associated with pus collection are the key points in preventing serious and fatal complications. We emphasize the diagnostic role of computerized tomography (CT) scan and the importance of early and proper drainage of these abscesses.- - - - - - - - - - ranking = 3keywords = tonsillitis (Clic here for more details about this article) |
3/9. Tonsillar abscess formation due to herpes simplex type-1 in a severely immunocompromised stem cell transplant patient with chronic myeloid leukemia.herpes simplex virus (HSV) causes life-threatening infections in immunocompromised patients such as transplant recipients and patients with hematologic malignancies. We herein describe the case of a patient with chronic myeloid leukemia blastic transformation who developed severe herpetic tonsillitis complicated by tonsillar abscess formation. Abscess formation was determined by computed tomography, whereas tonsillitis due to HSV was confirmed by pathologic and immunohistochemical examinations of the tonsillar biopsy. For molecular confirmation, HSV dna was amplified by LightCycler PCR and type (HSV-1) determined by melting point analysis. The patient responded promptly to antiviral treatment and there were no signs of recurrent infection at the follow-up. To our knowledge, this case is unique for being the first case of tonsillar abscess formation due to HSV-1, also emphasizing the importance of herpetic infections in the differential diagnosis of oropharyngeal small-sized lesions in the immunocompromised patient population.- - - - - - - - - - ranking = 2keywords = tonsillitis (Clic here for more details about this article) |
4/9. Bilateral peritonsillar abscesses: case report and literature review.Although unilateral peritonsillar abscesses (PTA) are a common complication of acute bacterial tonsillitis, bilateral PTA are quite rare. We present the case of a 14-year-old female teenager with a 1-week history of acute tonsillitis. physical examination revealed significant trismus, symmetrically inflamed tonsils and soft palate, and a midline uvula. A contrast-enhanced CT scan of the neck demonstrated bilateral PTA. After bilateral needle aspiration and administration of antibiotics, complete disease resolution was rapidly achieved. patients with bilateral PTA present a diagnostic dilemma because they do not demonstrate the classic asymmetric signs and symptoms seen in the more prevalent unilateral PTA. Contrast-enhanced CT imaging can help diagnose bilateral PTA and should be considered in the presence of marked trismus but with the absence of unilateral inflammatory findings.- - - - - - - - - - ranking = 2keywords = tonsillitis (Clic here for more details about this article) |
5/9. peritonsillar abscess. Why aggressive management is appropriate.peritonsillar abscess is the most common deep neck infection in adults. Infections develop from purulent material collecting in the fascial spaces lateral to the capsule of the palatine tonsil. Infections are usually polymicrobial, and a significant number of anaerobes are isolated. The cornerstone of therapy is drainage of the abscess. With cooperative patients, careful permucosal needle aspiration is an accepted method of primary therapy. Large or recurrent abscesses require otolaryngologic consultation for adequate incision and drainage. tonsillectomy may be necessary to prevent re-formation of abscess in patients with a history of recurrent tonsillitis.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
6/9. Fatal myocarditis associated with peritonsillar abscess.A case report of a patient with tonsillitis and peritonsillar abscess, who subsequently developed fatal myocarditis, is presented. The clinical course and pathological findings are outlined. The rare association of tonsillitis and pharyngitis with non-rheumatic, non-diphtheritic, non-fatal myocarditis was recognized and reported in the pre and early antibiotic era. The present reported case is only the second recent description of fatal myocarditis associated with tonsillitis, and the first ever reported in the English Otolaryngologic literature.- - - - - - - - - - ranking = 3keywords = tonsillitis (Clic here for more details about this article) |
7/9. Oropharyngeal tularemia.A case of oropharyngeal tularemia mimicking a peritonsillar abscess is presented. This diagnosis should be entertained in patients who are seen initially with ulcerative-exudative pharyngitis with or without tonsillitis and whose routine cultures are negative and/or are unresponsive to penicillin. Institution of appropriate therapy depends largely on the clinical diagnosis because cultures on ordinary media are routinely negative, and it takes several days for antibody titers to reach diagnostic significance.- - - - - - - - - - ranking = 1keywords = tonsillitis (Clic here for more details about this article) |
8/9. Cervical necrotizing fasciitis and tonsillitis.We present a case of cervical necrotizing fasciitis following quinsy in a previously fit and healthy man. This is a potentially fatal condition with few specific clinical signs that requires early diagnosis and surgical debridement. Other features of the disease are discussed.- - - - - - - - - - ranking = 4keywords = tonsillitis (Clic here for more details about this article) |
9/9. 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) |