An accumulation of purulent material in the area between the PALATINE TONSIL and its capsule.
Surgical removal of a tonsil or tonsils. (Dorland, 28th ed)
Inflammation of the tonsils, especially the PALATINE TONSILS but the ADENOIDS (pharyngeal tonsils) and lingual tonsils may also be involved. Tonsillitis usually is caused by bacterial infection. Tonsillitis may be acute, chronic, or recurrent.
Inflammation of the throat (PHARYNX).
An acute, diffuse, and suppurative inflammation of loose connective tissue, particularly the deep subcutaneous tissues, and sometimes muscle, which is most commonly seen as a result of infection of a wound, ulcer, or other skin lesions.
Accumulation of purulent material in tissues, organs, or circumscribed spaces, usually associated with signs of infection.
A pathologic process consisting in the formation of pus.
A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
The part of a human or animal body connecting the HEAD to the rest of the body.
Paired but separate cavity within the THORACIC CAVITY. It consists of the space between the parietal and visceral PLEURA and normally contains a capillary layer of serous fluid that lubricates the pleural surfaces.
An accumulation of purulent material in the space between the PHARYNX and the CERVICAL VERTEBRAE. This usually results from SUPPURATION of retropharyngeal LYMPH NODES in patients with UPPER RESPIRATORY TRACT INFECTIONS, perforation of the pharynx, or head and neck injuries.
Severe cellulitis of the submaxillary space with secondary involvement of the sublingual and submental space. It usually results from infection in the lower molar area or from a penetrating injury to the mouth floor. (From Dorland, 27th ed)
Acute inflammatory disease of the THYROID GLAND due to infections by BACTERIA; FUNGI; or other microorganisms. Symptoms include tender swelling, FEVER, and often with LEUKOCYTOSIS.

Influence of the collection and transport of specimens on the recovery of bacteria from peritonsillar abscesses. (1/29)

In 30 patients with peritonsillar abscesses, pus was obtained by aspiration and by taking a swab after incision; bacterial recovery was compared. Although processed in the laboratory within 2 h, swab speciments gave results comparable to syringe specimens in only 9 of 13 patients with beta-hemolytic streptococci and 7 of 25 patients with anaerobic bacteria. Both kinds of microorganisms were lost in some cases but appeared as additional flora in others. The poor results from the swab technique was ascribed to overgrowth of respiratory flora contaminating the sample after incision. In aspirated pus kept in the syringe, or transferred to anaerobic transporters, the microbial flora was unchanged for 24 to 48 h. Some anaerobes also survived on agar slants for 24 h, but specially designed anaerobic transporters are recommended.  (+info)

Neutrophil migration in tonsils. (2/29)

Recent studies have indicated the existence of an active cellular defence in the secretion on the tonsillar surface. This defence seems to consist partly of physiologically active neutrophils and is present in health and during disease. The present study was undertaken to examine the migration of these neutrophils to the secretion on the mucosal surface. Tonsils from 6 patients with acute tonsillitis and 5 patients with snoring problems were removed and sectioned. Sections were stained immunohistochemically against CD15 to visualise neutrophils. Other sections were stained with acridine orange to detect bacteria. Clusters of neutrophils were frequently seen in tonsils both from patients with acute tonsillitis and from snorers. They were observed to be accumulated within the tonsillar epithelial layer. Streaks of neutrophils could be observed running not only from vessels mainly near or within the epithelium to the epithelial surface, but also from vessels far from the epithelium through the extrafollicular areas to the epithelial surface. Bacteria were not present in the epithelium. We consider that the findings indicate an active physiological migration of neutrophils to the tonsillar surface.  (+info)

Peritonsillar abscess: diagnosis and treatment. (3/29)

Peritonsillar abscess, the most common deep infection of the head and neck that occurs in adults, is typically formed by a combination of aerobic and anaerobic bacteria. The presenting symptoms include fever, throat pain, and trismus. Ultrasonography and computed tomographic scanning are useful in confirming a diagnosis. Needle aspiration remains the gold standard for diagnosis and treatment of peritonsillar abscess. After performing aspiration, appropriate antibiotic therapy (including penicillin, clindamycin, cephalosporins, or metronidazole) must be initiated. In advanced cases, incision and drainage or immediate tonsillectomy may be required.  (+info)

National audit of the management of peritonsillar abscess. (4/29)

An anonymous postal survey of 200 consultants was used to audit the current prevalent practices in the management of quinsy in the UK; 101 responded. The findings reveal that on average an otolaryngology department treats 29 cases per year, the vast majority (94%) on an inpatient basis. The main initial treatment was needle aspiration combined with intravenous antibiotics. Interestingly, those departments treating more than 20 cases a year are more likely to use needle aspiration, while departments in England and Wales use significantly more incision and drainage than those in Scotland. Incision and drainage (52%) was the most common form of treatment of non-resolving patients. The median hospital stay was two days.  (+info)

Penicillin for acute sore throat in children: randomised, double blind trial. (5/29)

OBJECTIVE: To assess the effectiveness of penicillin for three days and treatment for seven days compared with placebo in resolving symptoms in children with sore throat. DESIGN: Randomised, double blind, placebo controlled trial. SETTING: 43 family practices in the Netherlands. PARTICIPANTS: 156 children aged 4-15 who had a sore throat for less than seven days and at least two of the four Centor criteria (history of fever, absence of cough, swollen tender anterior cervical lymph nodes, and tonsillar exudate). Interventions Patients were randomly assigned to penicillin for seven days, penicillin for three days followed by placebo for four days, or placebo for seven days. MAIN OUTCOME MEASURES: Duration of symptoms, mean consumption of analgesics, number of days of absence from school, occurrence of streptococcal sequelae, eradication of the initial pathogen, and recurrences of sore throat after six months. RESULTS: Penicillin treatment was not more beneficial than placebo in resolving symptoms of sore throat, neither in the total group nor in the 96 children with group A streptococci. In the groups randomised to seven days of penicillin, three days of penicillin, or placebo, one, two, and eight children, respectively, experienced a streptococcal sequela. CONCLUSION: Penicillin treatment had no beneficial effect in children with sore throat on the average duration of symptoms. Penicillin may, however, reduce streptococcal sequelae.  (+info)

Biologically active neutrophil chemokine pattern in tonsillitis. (6/29)

To gain an insight into the mechanisms of chronic and acute inflammation, the production of neutrophil chemokines in different types of tonsillitis - hyperplastic tonsillitis (HT), recurrent tonsillitis (RT) and peritonsillar abscesses (PA) - was investigated. The chemokines interleukin-8 (IL-8), growth-related oncogene-alpha (GRO-alpha), epithelial cell-derived neutrophil attractant-78 (ENA-78) and granulocyte chemotactic protein-2 (GCP-2) were detected and shown to have different biological activities. With respect to the biological properties of CXC chemokines, the biological activity of the chemokines was identified using a three-step high-performance liquid chromatography (HPLC) technique, a bioassay involving measurement of neutrophil chemotaxis in a single Boyden chamber in tissue of HT, RT and PA. Using reverse transcription-polymerase chain reaction (RT-PCR), the chemokine concentrations were determined in the different tonsillitis entities. The chemokine pattern was dominated in PA by IL-8 and GRO-alpha and in RT by GRO-alpha. Hyperplastic tonsils of patients without a history of infection generated about five times lower IL-8 than PA. A protein concentration of GCP-2 was induced in PA and RT, whereas ENA-78 remained the same in all entities. In conclusion, it would appear that IL-8 was up-regulated in acute inflammation, whereas GRO-alpha dominated in chronic inflammation. ENA-78 seems not to play a pivotal role in inflammatory processes in tonsils. GCP-2 may serve as a substitute chemokine in certain inflammatory conditions as its quantity of mRNA and protein was higher in RT and PA than in HT.  (+info)

Peritonsillar infections: local experience. (7/29)

INTRODUCTION: The disease pattern and management of peritonsillar infections in Singapore General Hospital are studied. Other objectives are to determine if a seasonal variation exists and to examine the role of routine bacterial cultures and interval tonsillectomy. METHODS: This is a retrospective review of the management and outcome of patients with peritonsillar infections who were admitted acutely to Singapore General Hospital over a three-year period. RESULTS: Of 185 patients studied, 151 (81.6 percent) had peritonsillar abscess or quinsy and 34 (18.4 percent) had peritonsillar cellulitis. There were 139 males and 46 females, with a racial predisposition among Malays (p value is less than 0.0005). There may be a seasonal variation with a bi-annual trend, though no correlation with upper respiration tract infections was noted. Treatment consisted mainly of incision and drainage (66 percent) or needle aspiration (34 percent). No significant difference in the length of stay was noted in patients receiving penicillin alone, penicillin with metronidazole, or broad-spectrum antibiotics (p value is equal to 0.062). Fourteen (7.6 percent) patients had recurrences, all of which occurred after the first month. Two patients (1 percent) had bilateral quinsy. CONCLUSION: Peritonsillar infections remain a common admitting diagnosis to the Otolaryngology department. A single episode of infection should no longer be an indication for tonsillectomy as the incidence of recurrence is low.  (+info)

Diagnosis and management of pharyngitis in a pediatric population based on cost-effectiveness and projected health outcomes. (8/29)

BACKGROUND: Pharyngitis is a common childhood complaint. Current management for children and adolescents includes 1 of 6 strategies, ie, (1) observe without testing or treatment, (2) treat all suspected cases with an antibiotic, (3) treat those with positive throat cultures, (4) treat those with positive rapid tests, (5) treat those with positive rapid tests and those with positive throat cultures after negative rapid tests, or (6) use a clinical scoring measure to determine the diagnosis/treatment strategy. The sequelae of untreated group A hemolytic streptococcal (GAS) pharyngitis are rare, whereas antibiotic treatment may result in side effects ranging from rash to death. The cost-utility of these strategies for children has not been reported previously. METHODS: A decision tree analysis incorporating the total cost and health impact of each management strategy was used to determine cost per quality-adjusted life-year ratios. Sensitivity analyses and Monte Carlo simulations assessed the accuracy of the estimates. RESULTS: From a societal perspective with current Medicaid reimbursements for testing, performing a throat culture for all patients had the best cost-utility. For private insurance reimbursements, rapid antigen testing had the best cost-utility. Observing without testing or treatment had the lowest morbidity rate and highest cost from a societal perspective but the lowest cost from a payer perspective. The model was most sensitive to the incidence of acute rheumatic fever and peritonsillar abscess after untreated GAS pharyngitis. Monte Carlo simulations demonstrated considerable overlap among all of the options except for treating all patients and observing all patients. CONCLUSIONS: Observing patients with pharyngitis had the lowest morbidity rate. The costs of this option were primarily from parental time lost from work. Before recommending observation rather than treatment of GAS pharyngitis, accurate estimates of the risk of developing acute rheumatic fever and peritonsillar abscess after GAS pharyngitis are needed.  (+info)

A Peritonsillar Abscess (also known as a Quinsy) is a localized collection of pus in the peritonsillar space, which is the potential space between the tonsillar capsule and the pharyngeal constrictor muscle. It is a serious complication of tonsillitis or pharyngitis, often caused by bacterial infection. The abscess can cause severe pain, difficulty swallowing, fever, and swelling of the neck and face. If left untreated, it can lead to more severe complications such as airway obstruction or the spread of infection. Treatment typically involves drainage of the abscess, antibiotics, and supportive care.

A tonsillectomy is a surgical procedure in which the tonsils, two masses of lymphoid tissue located on both sides of the back of the throat, are removed. This procedure is typically performed to treat recurrent or severe cases of tonsillitis (inflammation of the tonsils), sleep-disordered breathing such as obstructive sleep apnea, and other conditions where the tonsils are causing problems or complications. The surgery can be done under general anesthesia, and there are various methods for removing the tonsils, including traditional scalpel excision, electrocautery, and laser surgery. After a tonsillectomy, patients may experience pain, swelling, and difficulty swallowing, but these symptoms typically improve within 1-2 weeks post-surgery.

Tonsillitis is a medical condition characterized by inflammation and infection of the tonsils, which are two masses of lymphoid tissue located on either side of the back of the throat. The tonsils serve as a defense mechanism against inhaled or ingested pathogens; however, they can become infected themselves, leading to tonsillitis.

The inflammation of the tonsils is often accompanied by symptoms such as sore throat, difficulty swallowing, fever, swollen and tender lymph nodes in the neck, cough, headache, and fatigue. In severe or recurrent cases, a tonsillectomy (surgical removal of the tonsils) may be recommended to alleviate symptoms and prevent complications.

Tonsillitis can be caused by both viral and bacterial infections, with group A streptococcus being one of the most common bacterial causes. It is typically diagnosed based on a physical examination and medical history, and sometimes further confirmed through laboratory tests such as a throat swab or rapid strep test. Treatment may include antibiotics for bacterial tonsillitis, pain relievers, and rest to aid in recovery.

Pharyngitis is the medical term for inflammation of the pharynx, which is the back portion of the throat. This condition is often characterized by symptoms such as sore throat, difficulty swallowing, and scratchiness in the throat. Pharyngitis can be caused by a variety of factors, including viral infections (such as the common cold), bacterial infections (such as strep throat), and irritants (such as smoke or chemical fumes). Treatment for pharyngitis depends on the underlying cause of the condition, but may include medications to relieve symptoms or antibiotics to treat a bacterial infection.

Cellulitis is a medical condition characterized by an infection and inflammation of the deeper layers of the skin (dermis and subcutaneous tissue) and surrounding soft tissues. It's typically caused by bacteria, most commonly group A Streptococcus and Staphylococcus aureus.

The affected area often becomes red, swollen, warm, and painful, and may be accompanied by systemic symptoms such as fever, chills, and fatigue. Cellulitis can spread rapidly and potentially become life-threatening if left untreated, so it's important to seek medical attention promptly if you suspect you have this condition. Treatment typically involves antibiotics, rest, elevation of the affected limb (if applicable), and pain management.

An abscess is a localized collection of pus caused by an infection. It is typically characterized by inflammation, redness, warmth, pain, and swelling in the affected area. Abscesses can form in various parts of the body, including the skin, teeth, lungs, brain, and abdominal organs. They are usually treated with antibiotics to eliminate the infection and may require drainage if they are large or located in a critical area. If left untreated, an abscess can lead to serious complications such as sepsis or organ failure.

Suppuration is the process of forming or discharging pus. It is a condition that results from infection, tissue death (necrosis), or injury, where white blood cells (leukocytes) accumulate to combat the infection and subsequently die, forming pus. The pus consists of dead leukocytes, dead tissue, debris, and microbes (bacteria, fungi, or protozoa). Suppuration can occur in various body parts such as the lungs (empyema), brain (abscess), or skin (carbuncle, furuncle). Treatment typically involves draining the pus and administering appropriate antibiotics to eliminate the infection.

Aspiration pneumonia is a type of pneumonia that occurs when foreign materials such as food, liquid, or vomit enter the lungs, resulting in inflammation or infection. It typically happens when a person inhales these materials involuntarily due to impaired swallowing mechanisms, which can be caused by various conditions such as stroke, dementia, Parkinson's disease, or general anesthesia. The inhalation of foreign materials can cause bacterial growth in the lungs, leading to symptoms like cough, chest pain, fever, and difficulty breathing. Aspiration pneumonia can be a serious medical condition, particularly in older adults or individuals with weakened immune systems, and may require hospitalization and antibiotic treatment.

An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.

In medical terms, the "neck" is defined as the portion of the body that extends from the skull/head to the thorax or chest region. It contains 7 cervical vertebrae, muscles, nerves, blood vessels, lymphatic vessels, and glands (such as the thyroid gland). The neck is responsible for supporting the head, allowing its movement in various directions, and housing vital structures that enable functions like respiration and circulation.

The pleural cavity is the potential space between the visceral and parietal pleura, which are the two membranes that surround the lungs. The visceral pleura covers the outside of the lungs, while the parietal pleura lines the inside of the chest wall. Under normal conditions, these two layers are in contact with each other, and the space between them is virtually nonexistent. However, when air, fluid or inflammation accumulates within this space, it results in the formation of a pleural effusion, which can cause discomfort and difficulty breathing.

A retropharyngeal abscess is a deep neck infection involving the potential space between the buccopharyngeal fascia and the alar fascia, primarily located in the retropharyngeal space. This space extends from the base of the skull to the mediastinum and contains loose connective tissue, fat, and lymph nodes. The infection usually originates from an upper respiratory tract infection or a penetrating injury to the posterior pharyngeal wall.

The abscess can cause swelling and compression of surrounding structures, leading to potentially serious complications such as airway obstruction, mediastinitis, or sepsis if left untreated. Symptoms may include neck pain, difficulty swallowing, fever, drooling, and decreased appetite. Diagnosis is typically made through a combination of clinical examination, imaging studies (such as CT or MRI scans), and laboratory tests. Treatment usually involves surgical drainage of the abscess and antibiotic therapy to manage the infection.

Ludwig's angina is a severe cellulitis (a bacterial infection of the connective tissues) of the floor of the mouth, below the tongue, and around the neck area. It's named after Wilhelm Friedrich von Ludwig, who first described it in 1836. The condition can lead to airway obstruction and significant swelling in the neck, making swallowing difficult or impossible. If not treated promptly with antibiotics and sometimes surgical drainage, it can be life-threatening due to the potential for spread of infection to the brain or other critical areas. It's typically caused by mixed oral flora, often including Streptococcus species, Staphylococcus aureus, and anaerobes.

Suppurative thyroiditis is a rare type of thyroid gland inflammation that is caused by a bacterial infection. It is characterized by the formation of pus (suppuration) within the thyroid tissue. The infection can result from a direct spread of bacteria from adjacent structures, such as the upper respiratory tract or neck, or through the bloodstream due to an underlying infection elsewhere in the body.

Suppurative thyroiditis primarily affects people with pre-existing conditions that weaken the immune system, making them more susceptible to bacterial infections. These conditions may include diabetes, HIV/AIDS, or alcoholism. Additionally, it can occur in individuals who have recently undergone surgical procedures on the thyroid gland or after a traumatic injury to the area.

Symptoms of suppurative thyroiditis include fever, chills, painful swallowing, neck pain and swelling, difficulty breathing, hoarseness, and symptoms related to bacteremia (bacterial infection in the blood) if the infection spreads. Diagnosis typically involves a combination of clinical evaluation, imaging studies like ultrasound or CT scan, and laboratory tests to identify the causative organism. Treatment usually consists of antibiotics to eliminate the bacterial infection and possible surgical drainage of the infected thyroid tissue in severe cases.

"Peritonsillitis (Peritonsillar Cellulitis and Peritonsillar Abscess)". Marx: Rosen's Emergency Medicine (7th ed.). Mosby, An ... "Peritonsillar Abscess". American Family Physician. 95 (8): 501-506. PMID 28409615. "Tonsillar Cellulitis and Tonsillar Abscess ... Peritonsillar abscess (PTA), also known as quinsy, is an accumulation of pus due to an infection behind the tonsil. Symptoms ... As the abscess develops, persistent pain in the peritonsillar area, fever, a general sense of feeling unwell, headache, and a ...
From tonsillitis can come a peritonsillar abscess which is the most common upper airway infection and occurs primarily in young ... Galioto, Nicholas J. (2017-04-15). "Peritonsillar Abscess". American Family Physician. 95 (8): 501-506. ISSN 0002-838X. PMID ... Pneumonia may develop complications such as a lung abscess, a round cavity in the lung caused by the infection, or may spread ...
Complications include peritonsillar abscess (Quinsy). Tonsillitis is most commonly caused by a viral infection and about 5% to ... Klug TE, Rusan M, Fuursted K, Ovesen T (August 2016). "Peritonsillar Abscess: Complication of Acute Tonsillitis or Weber's ... and Peritonsillar and Retropharyngeal Abscesses". Pediatr Rev (Review). 38 (2): 82. doi:10.1542/pir.2016-0072. PMID 28148705. ... This is termed a peritonsillar abscess (or quinsy). Rarely, the infection may spread beyond the tonsil resulting in ...
Tekish died of a peritonsillar abscess in 1200. and was succeeded by his son, Ala ad-Din Muhammad. His death triggered ...
... peritonsillar abscess, and retropharyngeal abscess. Tonsillectomy may be a reasonable preventive measure in those with frequent ... They are primarily prescribed to reduce rare complications such as rheumatic fever and peritonsillar abscess. The arguments in ... Potential complications include rheumatic fever and peritonsillar abscess. The typical signs and symptoms of streptococcal ... Acute rheumatic fever Scarlet fever Streptococcal toxic shock syndrome Glomerulonephritis PANDAS syndrome Peritonsillar abscess ...
Furthermore, CT imaging can help to diagnose other conditions such as peritonsillar abscess or retropharyngeal abscess which ... Retropharyngeal abscess Peritonsillar abscess Croup Infectious mononucleosis Diphtheria Pertussis Bacterial tracheitis Ludwig's ... "Four cases of acute epiglottitis with a peritonsillar abscess". Auris Nasus Larynx. 38 (2): 284-8. doi:10.1016/j.anl.2010.06. ...
Submandibular and peritonsillar abscesses caused by E. corrodens can be treated by incision and drainage. Earlier diagnosis and ... an unexpected pathogen causing a persistent peritonsillar abscess". Ear, Nose, & Throat Journal. 74 (2): 114-117. doi:10.1177/ ... an unexpected pathogen causing a persistent peritonsillar abscess". Ear, Nose, & Throat Journal. 74 (2): 114-117. doi:10.1177/ ... Heymann, W. R.; Drezner, D. (August 1997). "Submandibular abscess caused by Eikenella corrodens". Cutis. 60 (2): 101-102. ISSN ...
F. necrophorum has been found as a common pathogen in the diagnostic of peritonsillar abscess and is more prevalent than other ... Most Prevalent Pathogen in Peritonsillar Abscess in Denmark". Clinical Infectious Diseases. 49 (10): 1467-1472. doi:10.1086/ ... F. necrophorum commonly infects animals, causing liver abscesses and necrodic diseases, and can combine with other pathogenic ... A ruminal bacterium that invades liver to cause abscesses in cattle". Anaerobe. Foodborne and Gastrointestinal Pathogen Ecology ...
F. necrophorum is responsible for 10% of acute sore throats, 21% of recurrent sore throats and 23% of peritonsillar abscesses ... Klug TE, Rusan M, Fuursted K, Ovesen T (2009). "Fusobacterium necrophorum: most prevalent pathogen in peritonsillar abscess in ... "Liver Abscesses in Cattle". MSD Manual Veterinary Manual. Merck & Co. Machado, Vinícius Silva (17 March 2014). "Subcutaneous ... F. necrophorum is the cause of necrotic laryngitis ("calf diphtheria") and liver abscesses in cattle. See also Blain, an ...
... throat infection progresses to the formation of a peritonsillar abscess. Deep in the abscess, anaerobic bacteria can flourish. ... When the abscess wall ruptures internally, the drainage carrying bacteria seeps through the soft tissue and infects the nearby ... The bacteria then invade the peritonsillar blood vessels where they can spread to the internal jugular vein. In this vein, the ... Other sites involved in septic metastasis and abscess formation are the muscles and soft tissues, liver, spleen, kidneys and ...
Other potential complications of a spreading pericoronal abscess include peritonsillar abscess formation or cellulitis. Chronic ... This can result in abscess formation. Left untreated, the abscess can spontaneously drain into the mouth from beneath the ... Sometimes a "migratory abscess" of the buccal sulcus occurs with pericoronal infection, where pus from the lower third molar ... A periodontal abscess may even form by this mechanism. Pain associated with temporomandibular joint disorder and myofascial ...
Antonio Musa Brassavola (1490-1554) of Ferrara successfully treated a patient with peritonsillar abscess by tracheotomy. ... esophageal perforation and retropharyngeal abscess, bronchial intubation, or nerve injury. They may even be immediately life- ...
... peritonsillar abscess ("quinsy abscess"), submandibular space infection (Ludwig's angina), and epiglottitis. Some cases of ... Fusobacterium necrophorum is a normal inhabitant of the oropharyngeal flora and can occasionally create a peritonsillar abscess ... Other conditions that can produce similar symptoms include epiglottitis, thyroiditis, retropharyngeal abscess, and occasionally ...
Bacon and Tabbot (2016). "When a Peritonsillar Abscess Is Not a Peritonsillar Abscess: Using Bedside Emergency Ultrasound to ... "When a Peritonsillar Abscess Is Not a Peritonsillar Abscess: Using Bedside Emergency Ultrasound to Change the Diagnosis" and " ...
He was hospitalized for a peritonsillar abscess in 2013 and later discharged from the hospital after two weeks. After a year, ...
Peritonsillar abscess Tetanus Meningitis Brain abscess Parotid abscess The hallmark of a masticatory space infection is trismus ... Peritonsillar abscess, a complication of tonsillitis which usually presents with sore throat, dysphagia, fever, and change in ... to neuroleptic drug use Malignant otitis externa Mumps Peritonsillar abscess Retropharyngeal or parapharyngeal abscess Seizure ...
Thorpe developed a peritonsillar abscess, a tonsil infection. He travelled back to his father's home in Kendal and eventually ...
He died of a peritonsillar abscess in 1200 and was succeeded by his son, Ala ad-Din Muhammad. Mohammad Habib (1992). "THE ... Deaths from peritonsillar abscess, 13th-century rulers, Khwarezmid rulers, Anushtegin dynasty, All stub articles, Asian royalty ...
Shepard died of quinsy, a Peritonsillar abscess, which is a complication of tonsillitis at the age of 44. Shepard was regarded ... Deaths from peritonsillar abscess, Massachusetts colonial-era clergy, 17th-century New England Puritan ministers, People from ...
Giant tonsilloliths may often be mistaken for other oral maladies, including peritonsillar abscess, and tumors of the tonsil. ... peritonsillar abscesses, foreign bodies, phlebolites, ectopic bone or cartilage, lymph nodes, granulomatous lesions or ...
Possible problems from this method of spread include peritonsillar or retropharyngeal abscesses, cellulitis, mastoiditis, or ...
Antonio Musa Brassavola (1490-1554) of Ferrara treated a patient with peritonsillar abscess by tracheotomy after the patient ...
Antonio Musa Brassavola (1490-1554) of Ferrara treated a patient with peritonsillar abscess by tracheotomy after the patient ...
Unfortunately, Professor Carson was never able to formally assume these duties, having died from a peritonsillar abscess on ...
... peritonsillar or retropharyngeal abscesses. Post-operative inflammation after certain procedures such as adenoidectomy can also ...
It is also carried out for peritonsillar abscess, periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA), ...
Deaths from peritonsillar abscess, American people who died in prison custody, Prisoners who died in United States military ... Osceola, having suffered from chronic malaria since 1836, and having acute tonsillitis as well, developed an abscess.: 233 When ...
Deaths from peritonsillar abscess, People educated at St Albans School, Hertfordshire, Popes, 12th-century popes, Burials at St ...
... he was seized by a fever due to complications from a peritonsillar abscess. He died at the age of 56 on 15 May 1174 in the ... Deaths from peritonsillar abscess, Muslims of the Second Crusade, People from Aleppo, Zengid rulers, 12th-century Asian people ...
Deaths from peritonsillar abscess, Deans of Salisbury, People from Buckden, Cambridgeshire, People from Conwy, 17th-century ...
"Peritonsillitis (Peritonsillar Cellulitis and Peritonsillar Abscess)". Marx: Rosens Emergency Medicine (7th ed.). Mosby, An ... "Peritonsillar Abscess". American Family Physician. 95 (8): 501-506. PMID 28409615. "Tonsillar Cellulitis and Tonsillar Abscess ... Peritonsillar abscess (PTA), also known as quinsy, is an accumulation of pus due to an infection behind the tonsil. Symptoms ... As the abscess develops, persistent pain in the peritonsillar area, fever, a general sense of feeling unwell, headache, and a ...
A PTA is a localized accumulation of pus in the peritonsillar tissues that forms as a result of suppurative tonsillitis. ... Peritonsillar abscess (PTA) was first described as early as the 14th century; however, it is only since the advent of ... encoded search term (Peritonsillar Abscess) and Peritonsillar Abscess What to Read Next on Medscape ... Peritonsillar Abscess. Updated: Jul 25, 2022 * Author: Benoit J Gosselin, MD, FRCSC; Chief Editor: John Geibel, MD, MSc, DSc, ...
... , Peritonsillitis, Peritonsillar Cellulitis, Quinsy Sore Throat. ... Peritonsillar Abscess. Peritonsillar Abscess Aka: Peritonsillar Abscess, Peritonsillitis, Peritonsillar Cellulitis, Quinsy Sore ... Lung infection (Aspiration Pneumonia or Lung Abscess) from Peritonsillar Abscess rupture. *Erosion into Carotid Artery sheath ( ... Progression from exudative Tonsillitis to Peritonsillar Cellulitis to Peritonsillar Abscess. *Webers Glands (mucous Salivary ...
Peritonsillar abscess}} {{CMG}} {{AE}} {{PTD}} ==Overview== There are no screening recommendations for peritonsillar abscess ... Return to Peritonsillar abscess screening.. Retrieved from "https://www.wikidoc.org/index.php/Peritonsillar_abscess_screening" ... Screening== There are no screening recommendations for peritonsillar abscess. ==References== {{Reflist,2}} {{WH}} {{WS}} [[ ...
Peritonsillar abscess remains a common clinical entity in the emergency department and in an otolaryngology practice. Are you ... The peritonsillar abscess (PTA) remains a common clinical entity in the emergency department and in an otolaryngology practice ... Gentle dissection in the area of fluctuance is usually sufficient to enter the abscess cavity. Once the abscess cavity is found ...
Aintree - The Liverpool Peritonsillar Abscess Score (LPS): Development of a predictive score Through a Prospective Multi-Centre ...
Long needles: 18-20 gauge w 10ml syringe. Cut off distal rip of plastic needle guard n tape it on to prevent it from going too far ...
Peritonsillar abscess is the most common deep infection of the head and neck that occurs in adults; the treatment of the ... Use of steroids in the treatment of peritonsillar abscess.. Cem Ozbek, Erdinc Aygenc, Evrim Unsal Tuna, Adin Selcuk, Cafer ... A prospective study using a single high dose steroid treatment for peritonsillar abscess, was undertaken in 62 patients to ... intravenous use of steroid in addition to antibiotic therapy is an excellent choice for the management of peritonsillar abscess ...
A PTA is a localized accumulation of pus in the peritonsillar tissues that forms as a result of suppurative tonsillitis. ... Peritonsillar abscess (PTA) was first described as early as the 14th century; however, it is only since the advent of ... encoded search term (Peritonsillar Abscess) and Peritonsillar Abscess What to Read Next on Medscape ... Peritonsillar Abscess. Updated: Nov 04, 2014 * Author: Benoit J Gosselin, MD, FRCSC; Chief Editor: John Geibel, MD, DSc, MSc, ...
Peritonsillar abscess (PTA) is characterised by the accumulation of a purulent secretion between the fibrous capsule of the ... aspects of the clinical picture and possible novel ways to treat and prevent peritonsillar abscess. A total of 114 patients ... Risk factors for the development of PTA appeared to be scarring and fibrosis within the tonsils and peritonsillar tissue due to ... Treatment of PTA usually consists of opening the abscess and adequate antibacterial therapy. PTA has traditionally been ...
Quinsy is another name for a peritonsillar abscess, a collection of pus in the back of the throat between the tonsils. ... Quinsy is another name for a peritonsillar abscess, a collection of pus in the back of the throat between the tonsils. The ... Unless the abscess is very small, draining it is a key part of treatment. The doctor may do needle aspiration, using a needle ... Recurrent abscesses occur in as many as 5 percent of patients. Those with the highest risk for reoccurrence are young patients ...
Peritonsillar Abscess. This is an infection which occurs in the neck and head. It occurs when pus is collected at the back of ... Untreated peritonsillar abscess can cause the tonsil to push into the middle and block breathing. Swollen lymph nodes and ... Acid Reflux or GERDCold and Flu InfectionsPostnasal DripAllergiesMononucleosisPeritonsillar AbscessCancerSome methods to ease ... trouble swallowing are common symptoms and the treatment involves draining the abscess or potentially a tonsillectomy. It is ...
Peritonsillar Abscess (PTA) or Quinsy: Peritonsillar Abscess is a bacterial infection that develops lateral to the tonsillar ... Peritonsillar abscess formed around the tonsils. Tonsillectomy is performed using a scalpel under a general anesthetic and the ... Peritonsillar Abscess. Go to source).. *. Tonsil or Tonsillar Hyperplasia or Tonsillar Hypertrophy: Abnormal enlargement of the ... An abscess or a swollen area with pus forms in this peritonsillar region. The pathogens are typically Staphylococci, ...
Peritonsillar Abscess and Cellulitis - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals ... Peritonsillar abscess and cellulitis are acute pharyngeal infections most common among adolescents and young adults. Symptoms ... Abscess and cellulitis both have swelling above the affected tonsil, but with abscess there is more of a discrete bulge, with ... Ultrasound guidance is sometimes used when the diagnosis of abscess is unclear or when the abscess is small (< 1 cm). Although ...
Peritonsillar abscess. American Family Physician. 2008.;77(2):199.. *Szuhay G, Tewfik TL. Peritonsillar abscess or cellulitis? ... Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with pharyngeal abscess. Danish ... Today on the emDOCs cast with Brit Long, MD (@long_brit) and Rachel Bridwell, MD (@rebridwell), we cover peritonsillar abscess. ... Peritonsillar abscess: incidence, current management practices, and a proposal for treatment guidelines. Laryngoscope. 1995;105 ...
... peritonsillar abscess AND microbiology, peritonsillar abscess AND pathophysiology and peritonsillar abscess AND etiology. ... A review of the pathogenesis of adult peritonsillar abscess: time for a re-evaluation. Lookup NU author(s): Jason PowellORCiD, ... Objectives: To perform a multifactorial exploration of the aetiology of peritonsillar abscess (PTA) in adults, in order to ...
Skill Checkup: Peritonsillar Abscess Drainage *. Biologic Therapies in Refractory Chronic Rhinosinusitis With Nasal Polyps ...
Skill Checkup: Peritonsillar Abscess Drainage * Biologic Therapies in Refractory Chronic Rhinosinusitis With Nasal Polyps ...
A peritonsillar abscess is usually a complication of tonsillitis or another bacterial infection. Get it treated quickly to ...
Peritonsillar Abscess. *Pharyngeal Candidiasis. *Pharyngitis. *Pharyngolaryngitis. *Pollen Allergy. *Salivary Gland Stones and ...
Peritonsillar abscess (quinsy) may complicate bacterial pharyngitis, leading to difficulty swallowing and pain radiating to the ... Imaging studies are warranted in patients with suspected mass lesions (eg, peritonsillar abscess, intracranial suppurative ... Retropharyngeal abscess may also complicate pharyngitis. Lemierre syndrome is an extension of pharyngitis that leads to a ... However, retropharyngeal, intraorbital, or intracranial abscesses may cause serious sequelae. The risk of mortality is ...
Is there a consensus on peritonsillar abscess management?-an audit of a tertiary hospital in Australia ...
The correct answer is "Muffled hot potato voice." Peritonsillar abscesses are collections of pus that form in the tissues ... A hordeolum, also known as a stye, is a common condition characterized by a pustule or abscess on the eyelid margin. It is ... It occurs because the abscess puts pressure on the surrounding structures, including the vocal cords, leading to a hoarse and ... are not typically associated with peritonsillar abscesses. ...
Peritonsillar Abscess ... View other providers who treat Abscess or Fluid Incision and ...
Peritonsillar Abscess Older kids and teens with tonsilitis sometimes develop this painful abscess, a pus-filled tissue at the ...
This could be a sign of a peritonsillar abscess.. Also talk to your doctor if your fever comes back or if youre not feeling ...
Surgeon-performed Transoral Ultrasound-Guided Aspiration of Peritonsillar Abscess. Todsen, Tobias, Stage, M. G. & Hahn, ... A Novel Technique for Intraoral Ultrasound-Guided Aspiration of Peritonsillar Abscess. Publikation: Bidrag til tidsskrift › ...
  • These may include: Retropharyngeal abscess Extension of abscess in other deep neck spaces leading to airway compromise (see Ludwig's angina) Airway obstruction Aspiration pneumonitis Lung abscess (following rupture) Sepsis Life-threatening hemorrhage (following erosion or septic necrosis into the carotid sheath of the neck) Glomerulonephritis and rheumatic fever (chronic complications of strep throat) Difficulty swallowing can lead to decreased oral intake and dehydration. (wikipedia.org)
  • If clinical deterioration despite 24 hours Abx or persisting fever/no clinical improvement despite 48 hours Abx, consider quinsy or retropharyngeal abscess. (bsac.org.uk)
  • The surgical aspects of otitis media, peritonsillar abscess and retropharyngeal abscess. (nih.gov)
  • A retropharyngeal abscess (RPA) is a rare, yet dangerous, deep neck space infection characterized by a collection of pus located in the retropharyngeal space (the space behind the hypopharynx and esophagus). (logicalimages.com)
  • Retropharyngeal abscess is a collection of pus in the tissues in the back of the throat. (medlineplus.gov)
  • Retropharyngeal abscess most often affects children under age 5, but it can occur at any age. (medlineplus.gov)
  • Retropharyngeal abscess, lateral pharyngeal (parapharyngeal) abscess, and peritonsillar cellulitis/abscess. (medlineplus.gov)
  • These become abnormal in disease states such as croup, epiglottitis, and retropharyngeal abscess. (radiologykey.com)
  • Retropharyngeal abscess with retropharyngeal air. (radiologykey.com)
  • Peritonsillar abscess (PTA), also known as quinsy, is an accumulation of pus due to an infection behind the tonsil. (wikipedia.org)
  • Quinsy is another name for a peritonsillar abscess, a collection of pus in the back of the throat between the tonsils. (facty.com)
  • Abscess (quinsy) and cellulitis probably represent a spectrum of the same process in which bacterial infection of the tonsils and pharynx spreads to the soft tissues. (msdmanuals.com)
  • Presence of fever, progressive worsening of symptoms, deviated uvula and trismus suggest possible peritonsillar abscess (quinsy). (bsac.org.uk)
  • If peritonsillar abscess (quinsy), ENT team may decide on early aspiration in older children. (bsac.org.uk)
  • Peritonsillar abscess (quinsy) - Will be evident on imaging and clinical examination (deviation of uvula). (logicalimages.com)
  • Peritonsillar abscess (PTA) is characterised by the accumulation of a purulent secretion between the fibrous capsule of the palatine tonsil and the pharyngeal superior constrictor muscle. (ut.ee)
  • Untreated peritonsillar abscess can cause the tonsil to push into the middle and block breathing. (readability.com)
  • Abscess and cellulitis both have swelling above the affected tonsil, but with abscess there is more of a discrete bulge, with deviation of the soft palate and uvula and pronounced trismus. (msdmanuals.com)
  • Often abscess collection at superior pole of tonsil is present with unilateral swelling, erythematous elevated soft palate, and edematous uvula deviated towards unaffected tonsil. (emdocs.net)
  • It may be challenging to breathe or swallow if you have a peritonsillar abscess, a pocket of infection that forces your tonsil to the other side of your throat. (sriramakrishnahospital.com)
  • Because ICD-9-CM does not include a code for "aspiration of peritonsillar abscess" some coders wanted to use ICD-9-CM procedure code 28.0 (incision and drainage of tonsil and peritonsillar structures) while others want to report code 28.99 (other operations on tonsils and adenoids). (justcoding.com)
  • Abscess can still occur after tonsillectomy and adenoidectomy (T&A) as a parapharyngeal abscess, though this is less common than PTA. (emdocs.net)
  • While not necessary to make the clinical diagnosis of PTA, imaging can confirm diagnosis, better visualize location and complexity of abscess, and distinguish from other deep space infections (retro- or parapharyngeal abscess). (emdocs.net)
  • Skill Checkup: Peritonsillar Abscess Drainage - Medscape - Nov 06, 2018. (medscape.com)
  • I called the ENT guy, who explained that he had in fact seen the patient as planned, but the swelling in his throat had gone down so dramatically that he decided the drainage of the abscess was no longer necessary. (medpagetoday.com)
  • The Peritonsillar Abscess (PTA) is the most common deep-space infection of the head/neck, and yet drainage always seems to be easier said than done. (hqmeded.com)
  • Patients should also be instructed to report any evidence of bacterial infection or abscess formation (e.g., increasing erythema, warmth, purulent drainage) due to the risk of secondary bacterial infections of lesions associated with mpox, which have been a common cause of morbidity and hospital admission ( 1, 4 ). (cdc.gov)
  • The doctor may do needle aspiration, using a needle to puncture the abscess and a syringe to withdraw the pus. (facty.com)
  • In some cases, doctors use ultrasound during a needle aspiration to better view the abscess. (facty.com)
  • The physician documents that he performed a "needle aspiration of the left peritonsillar abscess. (justcoding.com)
  • A study of 685 patients by Kordeluk et al looked at the relation between peritonsillar cellulitis and abscess and outbreaks of acute tonsillitis. (medscape.com)
  • Peritonsillar abscess and cellulitis are acute pharyngeal infections most common among adolescents and young adults. (msdmanuals.com)
  • Peritonsillar cellulitis is recognized in patients with severe sore throat who have trismus, "hot potato" voice, and uvular deviation. (msdmanuals.com)
  • Aspiration of pus differentiates abscess from cellulitis. (msdmanuals.com)
  • Q: A patient has been diagnosed with peritonsillar cellulitis and oropharyngeal cellulitis. (justcoding.com)
  • The Ludwig's angina was firstly described in 1836 by Wilhelm Frederick von Ludwig as a cellulitis of fast evolution involving the region of the submandibular gland which is disseminated through anatomic contiguity without tendency towards abscess formation 19 . (bvsalud.org)
  • If we start indiscriminately giving steroids to patients with pharyngitis, will we wind up seeing more abscesses or worse complications? (medpagetoday.com)
  • Younger children who develop a peritonsillar abscess are often immunocompromised and in them, the infection can cause airway obstruction. (wikipedia.org)
  • Expansion of the abscess may lead to extension of the inflammation into adjacent fascial compartments of the head and neck, potentially resulting in airway obstruction. (medscape.com)
  • Other complications include upper airway construction due to the size of the abscess or the amount of swelling in the throat. (facty.com)
  • It seems like all of my peritonsillar abscesses are diagnosed on the initial presentation -- it's rare to see someone with an abscess who had already been on antibiotics. (medpagetoday.com)
  • It has been our experience that when we see someone with a really bad sore throat or even with a peritonsillar abscess, 100% of the time the instruction from the ENTs has been to administer steroids. (medpagetoday.com)
  • The infection, in these cases, spreads to the peritonsillar area (peritonsillitis). (wikipedia.org)
  • The most widely accepted theory involves the progression of an episode of exudative tonsillitis first into peritonsillitis and then into frank abscess formation. (medscape.com)
  • The diagnostic role of ultrasonography regarding peritonsillar abscesses, a prospective observational pilot study. (diva-portal.org)
  • Peritonsillar Abscess is a bacterial infection that develops lateral to the tonsillar region when an acute tonsillitis infection has been left untreated. (medindia.net)
  • As the abscess develops, persistent pain in the peritonsillar area, fever, a general sense of feeling unwell, headache, and a distortion of vowels informally known as "hot potato voice" may appear. (wikipedia.org)
  • A prospective study using a single high dose steroid treatment for peritonsillar abscess, was undertaken in 62 patients to determine the treatment's effectiveness in relieving symptoms such as fever, throat pain, dysphagia and trismus. (qxmd.com)
  • I worry more about masking the more common complications -- like the peritonsillar abscess. (medpagetoday.com)
  • Recently, we showed that S. pyogenes and F. necrophorum are equally associated with the development of complications in findings in tonsillitis (1), and F. necrophorum has been described as the most common cause of throat abscess (2), as well as an increasing cause of invasive infections in Sweden (3). (lu.se)
  • These minor salivary glands are found in the peritonsillar space and are thought to help in clearing debris from the tonsils. (medscape.com)
  • Risk factors for the development of PTA appeared to be scarring and fibrosis within the tonsils and peritonsillar tissue due to previous recurrent inflammations. (ut.ee)
  • Thus, do not rule out abscess in same region where tonsils once were simply because a patient presents after T&A. (emdocs.net)
  • Severe tonsillitis can lead to an abscess, commonly called a peritonsillar abscess , that develops between one of your tonsils and the wall of your throat. (healthline.com)
  • The peritonsillar abscess (PTA) remains a common clinical entity in the emergency department and in an otolaryngology practice. (medscape.com)
  • The main aim of the present thesis was to evaluate the etiopathogenetic factors, aspects of the clinical picture and possible novel ways to treat and prevent peritonsillar abscess. (ut.ee)
  • Objectives: To perform a multifactorial exploration of the aetiology of peritonsillar abscess (PTA) in adults, in order to develop greater clinical understanding of the condition and improve management. (ncl.ac.uk)
  • The loose connective tissue in this area is highly susceptible to abscesses when an infection develops. (facty.com)
  • The doctor may need to make an incision to drain the abscess instead of using a needle and syringe in some cases. (facty.com)
  • Or is it possible that steroid treatment will reduce the inflammation and resolve early phelgmons resulting in fewer abscesses? (medpagetoday.com)
  • 7 pointed out other factors such as in the cases of submandibular sialadenitis and parapharyngeal or peritonsillar abscesses. (bvsalud.org)
  • Gentle dissection in the area of fluctuance is usually sufficient to enter the abscess cavity. (medscape.com)
  • Should obstruction as a result of scarring from infection occur, tissue necrosis and abscess formation result, leading to PTA. (medscape.com)
  • Recurrent abscesses occur in as many as 5 percent of patients. (facty.com)
  • Otherwise, if patients have also had recurrent tonsillitis, elective tonsillectomy is done 4 to 6 weeks later to prevent abscess recurrence. (msdmanuals.com)
  • But this was pretty clearly an abscess on the scan, so he should have drained it when he saw the patient. (medpagetoday.com)
  • Symptoms start appearing two to eight days before the formation of an abscess. (wikipedia.org)
  • Swollen lymph nodes and trouble swallowing are common symptoms and the treatment involves draining the abscess or potentially a tonsillectomy. (readability.com)
  • This region comprises loose connective tissue and is hence susceptible to formation of an abscess. (wikipedia.org)
  • For this reason, x-rays can demonstrate abnormal soft-tissue air ( Figures 4-3 to 4-5 ), deviation or compression of normal air-filled structures (the trachea particularly) ( Figures 4-3 and 4-6 to 4-10 ), air-fluid levels suggesting abscess, and radiopaque foreign bodies ( Figures 4-11 to 4-15 ), as all of these involve a contrast between two key tissue densities. (radiologykey.com)
  • Examples include vascular dissections, abscesses, and subtle soft-tissue masses that may not be seen on x-ray. (radiologykey.com)
  • Tonsillectomy can be indicated if a patient has recurring peritonsillar abscesses or a history of tonsillitis. (wikipedia.org)
  • For patients with their first peritonsillar abscess most ENT-surgeons prefer to "wait and observe" before recommending tonsillectomy. (wikipedia.org)
  • Those managed as outpatients are observed for several hours after the abscess is drained to ensure they can tolerate liquids by mouth. (facty.com)
  • An abscess or a swollen area with pus forms in this peritonsillar region. (medindia.net)
  • A PTA is a localized accumulation of pus in the peritonsillar tissues that forms as a result of suppurative tonsillitis. (medscape.com)
  • Ultrasound guidance is sometimes used when the diagnosis of abscess is unclear or when the abscess is small ( 1 cm). (msdmanuals.com)
  • Occasionally, the severity of the suppurative process may lead to a cervical abscess, especially in very fulminant or rapidly progressive cases. (medscape.com)
  • Cervical osteomyelitis - More likely if there is not an obvious peritonsillar abscess seen on imaging. (logicalimages.com)
  • Use of steroids in the treatment of peritonsillar abscess. (qxmd.com)
  • A CT confirmed the presence of a small-to-medium sized abscess which would need to be drained surgically. (medpagetoday.com)