Stegehuis H R, Schousboe M
N Z Med J. 1986 Jul 23;99(806):536-8.
Retrospective review of the notes of 83 peritonsillar infection sufferers over three years at Christchurch Hospital reveals that the typical sufferer is a young adult male who is most likely to present in winter or summer. Only a quarter of the patients had a significant recent history of tonsillitis but four had had a previous quinsy and six had had a previous tonsillectomy in childhood. Length of symptoms does not appear helpful in differentiating an abscess from a cellulitis. Anaerobic organisms were found in 49% of aspirates and streptococci were the most important aerobic organism. Potential beta lactamase producing organisms, H influenzae, Staph aureus and Bacteroides sp were infrequent and penicillin remains the drug of choice. Appropriate antibiotics and drainage are the essentials of management and tonsillectomy may be indicated.
对克赖斯特彻奇医院三年来83例扁桃体周围感染患者病历的回顾性研究表明，典型患者为年轻成年男性，最有可能在冬季或夏季发病。只有四分之一的患者近期有明显的扁桃体炎病史，但有4例曾患扁桃体周围脓肿，6例在儿童期曾行扁桃体切除术。症状持续时间似乎无助于区分脓肿和蜂窝织炎。在49%的抽吸物中发现了厌氧菌，链球菌是最重要的需氧菌。产β-内酰胺酶的潜在病原体、流感嗜血杆菌、金黄色葡萄球菌和拟杆菌属并不常见，青霉素仍然是首选药物。适当的抗生素治疗和引流是治疗的关键，可能需要进行扁桃体切除术。
