편도주위농양 및 봉소염의 임상상

Abstract

Peritonsillar abscess and cellulitis usually occur in patient with recurrent tonsillitis or in those with chronic tonsillitis who have been inadequately treated. Distinguishing peritonsillar abscess from peritonsillar cellulitis has important clinical implications since cellulitis is managed with antibiotics alone whereas the optimal management of an abscess is drainage of pus. 73 patients with diagnosis of peritonsillar infection were retrospectively studied and statistically compared. Of the 73 patients, 53 had pus in aspiration, while 20 patients didn’t have. This study suggests that [1] the presence of severe pharyngotonsillar swelling is more likely to be associated with peritonsillar abscess group, [2] peritonsillar abscess group was statistically were significant than peritonsillar cellulitis group, as regards body temperature change and decreased of WBC count after 24 hours, and [3] peritonsillar abscess cannot be differentiated from peritonsillar cellulitis on clinical parameter alone.