Bilateral peritonsillar abscesses complicating acute tonsillitis

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Bilateral peritonsillar abscesses complicating acute tonsillitis.

1276 CMAJ, August 9, 2011, 183(11) © 2011 Canadian Medical Association or its licensors A24-year-old woman presented to the emergency department with a three-day history of worsening sore throat, pain with swallowing and fever. She had been seen by her primary care physician one day before presentation because of sore throat and fever, and had been given oral amoxicillin. She was previously wel...

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Bilateral peritonsillar abscesses: a challenging diagnosis.

Peritonsillar abscess is the most common complication of acute tonsillitis. Bilateral peritonsillar abscesses are much less common, and they may be more difficult to detect on physical examination because the oropharynx often appears to be symmetrical rather than asymmetrical, as is the case in unilateral abscess. Previous steroid treatment may also complicate the diagnosis by masking the signs...

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Atrioventricular block complicating acute streptococcal tonsillitis.

A 38 year old woman presented with severe weakness, high fever, and sore throat. Physical examination showed follicular tonsillitis and bradycardia caused by a atrioventricular block. Within 24 hours a normal sinus rhythm was regained but slight transient ST-T changes compatible with myocarditis were evident. Throat culture grew Streptococcus haemolyticus group A.

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Relation between peritonsillar infection and acute tonsillitis: myth or reality?

OBJECTIVE To investigate the relationship between tonsillar and peritonsillar infections. STUDY DESIGN Retrospective population-based study and a retrospective case series review. SETTINGS Tertiary academic medical facility. SUBJECTS AND METHODS All individuals hospitalized with peritonsillar abscess (PTA) or peritonsillar cellulitis (PTC) during 2004-2008 were reviewed. Patient age, gend...

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A Clinical Approach to Tonsillitis, Tonsillar Hypertrophy, and Peritonsillar and Retropharyngeal Abscesses.

Despite established guidelines for group A Streptococcus pharyngitis diagnosis and treatment, pediatricians are overtreating and mistreating sore throat in children. (1) This results in unnecessary antibiotic use and contributes to antimicrobial resistance, increased health care costs, and risk for adverse drug reactions. In addition, controversy exists among pediatricians regarding the indicat...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2011

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.100066