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A peritonsillar abscess (PTA), also known as a quinsy, is an accumulation of pus due to an infection behind the tonsil. [2] Symptoms include fever , throat pain, trouble opening the mouth , and a change to the voice. [ 1 ]
Strep throat is a common bacterial infection in children. [2] It is the cause of 15–40% of sore throats among children [7] [13] and 5–15% among adults. [8] Cases are more common in late winter and early spring. [13] Potential complications include rheumatic fever and peritonsillar abscess. [1] [2]
Symptoms may include sore throat, fever, enlargement of the tonsils, trouble swallowing, and enlarged lymph nodes around the neck. [1] [2] Complications include peritonsillar abscess (quinsy). [1] [3] Tonsillitis is most commonly caused by a viral infection and about 5% to 40% of cases are caused by a bacterial infection.
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 ...
F. necrophorum is also a cause for lameness in sheep. Its infection is commonly called scald or foot rot. It can last for several years on land used by either sheep or cattle, and is found on most land of this type throughout the world. Due to its survival length in these areas, it is unrealistic to try to remove it.
Pharyngitis is a type of upper respiratory tract infection. [7] Most cases are caused by a viral infection. [2] Strep throat, a bacterial infection, is the cause in about 25% of children and 10% of adults. [2] Uncommon causes include other bacteria such as gonococcus, fungi, irritants such as smoke, allergies, and gastroesophageal reflux disease.
F. necrophorum has been found as a common pathogen in the diagnostic of peritonsillar abscess and is more prevalent than other bacteria regarding this infection. It is also the most frequent leading cause associated with Lemierre Syndrome and is not proven to be a normal part of the human oral bacterium population. [8]
E. corrodens can be treated with penicillins, cephalosporins, or tetracyclines, however due to the resistant nature of the bacteria ongoing and recurring symptoms can be expected despite rigorous and prolonged antibiotic treatment. [17] Submandibular and peritonsillar abscesses caused by E. corrodens can be treated by incision and drainage. [18]