Ellsbury K E
J Fam Pract. 1984 Jan;18(1):69-73.
A retrospective study was conducted on 32 patients with the discharge diagnosis of peritonsillar abscess or peritonsillar cellulitis. Three had pre-existing chronic conditions that may have contributed to the peritonsillitis. The average duration of symptoms prior to diagnosis was 7.4 days. Most patients responded to penicillin given parenterally until the patient were able to take medication orally. Pus was obtained in 88 percent of the patients who underwent drainage procedures. Eight patients were treated with parenteral antibiotics without drainage, including three from whom pus was aspirated. All eight recovered without complication. The most common organism cultured was beta-hemolytic streptococcus, group A (seen in 31 percent). There was no association between the dose or type of oral antibiotic used prior to diagnosis of peritonsillar cellulitis. The clinical outcome suggests that some patients with peritonsillitis may respond to parenteral antibiotics without drainage procedures or tonsillectomy.
对32例出院诊断为扁桃体周围脓肿或扁桃体周围蜂窝织炎的患者进行了一项回顾性研究。其中3例有既往慢性疾病，可能与扁桃体炎的发生有关。诊断前症状的平均持续时间为7.4天。大多数患者接受了胃肠外给予的青霉素治疗，直到能够口服药物。88%接受引流手术的患者获得了脓液。8例患者接受了胃肠外抗生素治疗但未进行引流，其中3例进行了脓液抽吸。所有8例患者均康复且无并发症。培养出的最常见病原体是A组β溶血性链球菌（见于31%的患者）。在扁桃体周围蜂窝织炎诊断前使用的口服抗生素剂量或类型之间没有关联。临床结果表明，一些扁桃体炎患者可能对胃肠外抗生素治疗有效，无需进行引流手术或扁桃体切除术。
