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Medical treatment with antibiotics, volume repletion with fluids, and pain medication is usually adequate, although in cases where airway obstruction or systemic sepsis occurs, surgical drainage may be necessary. [1] [11] Corticosteroids may also be useful. [1] Admission to hospital is generally not needed. [1]
Lemierre's syndrome occurs most often when a bacterial (e.g., Fusobacterium necrophorum) throat infection progresses to the formation of a peritonsillar abscess. Deep in the abscess, anaerobic bacteria can flourish. When the abscess wall ruptures internally, the drainage carrying bacteria seeps through the soft tissue and infects the nearby ...
to depress or remove the tongue or other structures from the field of inspection or to view them from all sides; examine oral cavity; posterior rhinoscopy; minor operations; foreign body removal; biopsy ;peritonsillar abscess drainage; retraction of cheek and lip. Forceps: to hold things [3] •Asch's septum forceps: used to work on the nasal ...
Tonsillectomy is mainly undertaken for sleep apnea and recurrent or chronic tonsillitis. [1] It is also carried out for peritonsillar abscess, periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA), guttate psoriasis, nasal airway obstruction, tonsil cancer and diphtheria carrier state.
F. necrophorum is responsible for 10% of acute sore throats, [4] 21% of recurrent sore throats [5] [6] and 23% of peritonsillar abscesses [7] with the remainder being caused by Group A streptococci or viruses.
Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus.
Treatment efforts involve improving symptoms and decreasing complications. [5] Paracetamol (acetaminophen) and ibuprofen may be used to help with pain. [1] [5] If strep throat is present the antibiotic penicillin by mouth is generally recommended. [1] [5] In those who are allergic to penicillin, cephalosporins or macrolides may be used.
Submandibular and peritonsillar abscesses caused by E. corrodens can be treated by incision and drainage. [18] Earlier diagnosis and proper drainage surgery with effective antibiotics treatment may improve the prognosis. [19] First-choice drugs for E. corrodens infections should be third-generation cephems, carbapenems, or new quinolones. [20]