We reviewed the records of 724 patients diagnosed with peritonsillar abscess who had been admitted to our hospital between January 1988 and December 1999. We analyzed their clinical features, disease course, and treatment. The male:female ratio was 3:1, and approximately two-thirds of these patients were between 20 and 39 years of age. The most common aerobic bacteria cultured from patients’ pus were α-hemolytic streptococci. Severe complications—including deep neck infections and mediastinals—were seen in 13 patients (1.8%). This complication rate suggests that patients with peritonsillar abscess should undergo immediate incision and drainage rather than needle aspiration.
References
1.
IraniBS, Martin-HirschD, LanniganF.Infection of the neck spaces: A present day complication. J Laryngol Otol1992;106:455–8.
2.
WenigBL, ShikowitzMJ, AbramsonAL. Necrotizing fasciitis as a lethal complication of peritonsillar abscess. Laryngoscope1984;94:1576–9.
BondingP.Tonsillectomy a chaud. J Laryngol Otol1973;87:1171–82.
5.
BeedenAG, EvansNG. Quinsy tonsillectomy—a further report. J Laryngol Otol1970;84:443–8.
6.
HerbildO, BondingP.Peritonsillar abscess. Recurrence rate and treatment. Arch Otolaryngol1981;107:540–2.
7.
FriedMP, ForrestJL. Peritonsillitis. Evaluation of current therapy. Arch Otolaryngol1981;107:283–6.
8.
SchechterGL, SlyDE, RoperAL, JacksonRT. Changing face of treatment of peritonsillar abscess. Laryngoscope1982;92:657–9.
9.
SnowDG, CampbellJB, MorganDW. The microbiology of peritonsillar sepsis. J Laryngol Otol1991;105:553–5.
10.
SavolainenS, Jousimies-SomerHR, MakitieAA, YlikoskiJS. Peritonsillar abscess. Clinical and microbiologic aspects and treatment regimens. Arch Otolaryngol Head Neck Surg1993;119:521–4.
11.
WolfM, Even-ChenI, KronenbergJ.Peritonsillar abscess: Repeated needle aspiration versus incision and drainage. Ann Otol Rhinol Laryngol1994;103:554–7.
12.
KristensenS, JuulA, NielsenF.Quinsy: A bilateral presentation. J Laryngol Otol1985;99:401–2.
13.
LitmanRS, HausmanSA, SherWH. A retrospective study of peritonsillar abscess. Ear Nose Throat J1987;66:53–5.
14.
OphirD, BawnikJ, PoriaY, Peritonsillar abscess. A prospective evaluation of outpatient management by needle aspiration. Arch Otolaryngol Head Neck Surg1988;114:661–3.
15.
GhaffarF, FriedlandIR, KatzK, Increased carriage of resistant non-pneumococcal a-hemolytic streptococci after antibiotic therapy. J Pediatr1999;135:618–23.
