van Overbeek J J
Arch Otolaryngol. 1976 Feb;102(2):94-6. doi: 10.1001/archotol.1976.00780070072008.
In the otolaryngology literature, little attention is given to pharyngeal gonococcal infections. In the past, gonorrheal stomatitis was emphasized; recent publications dealt especially with tonsillitis. A gonococcal focus in the tonsil is not easily eradicated and often leads to diseminated gonorrhea with arthritis. Homosexual contacts are of importance. Among 196 patients with suspected venereal disease (93 men and 103 women), 74 had genital or rectal gonorrhea, or both; two female patients had an isolated gonococcal pharyngeal infection. A positive gonococcal pharyngeal culture was obtained from one homosexual man who had tonsillitis. In all cases of tonsillitis in "young" adults, the otolaryngologist should be aware of the possibility of a gonorrheal infection. Even if there is the slightest suspicion, a tonsillar culture for gonococci is required, for which suction of the crypts is recommended.
在耳鼻喉科文献中，咽淋病感染很少受到关注。过去，淋菌性口炎受到重视；最近的出版物特别讨论了扁桃体炎。扁桃体中的淋菌病灶不易根除，常导致播散性淋病并伴有关节炎。同性恋接触很重要。在196例疑似性病患者（93名男性和103名女性）中，74例患有生殖器或直肠淋病，或两者皆有；两名女性患者患有孤立性淋菌性咽部感染。从一名患有扁桃体炎的同性恋男性身上获得了阳性淋菌性咽培养物。对于所有“年轻”成年人的扁桃体炎病例，耳鼻喉科医生应意识到淋病感染的可能性。即使有最轻微的怀疑，也需要进行扁桃体淋球菌培养，建议对隐窝进行抽吸。
